Arkansas Code Title 20, Subtitle 2, Chapter 9, Subchapter 9 - Utilization Review

• § 20-9-901 - Purpose.
  The purpose of this subchapter is to: (1) Promote the delivery of quality health care in a cost-effective manner; (2) Foster greater coordination between...
• § 20-9-902 - Definitions.
  As used in this subchapter: (1) "Board" means the State Board of Health; (2) "Certificate" means a certificate of registration granted by the board...
• § 20-9-903 - Certificate Required.
  A private review agent who approves or denies payment or who recommends approval or denial of payment for hospital or medical services or whose...
• § 20-9-904 - When Certificate Not Required.
  (a) The State Board of Health may waive the requirements of this subchapter for the activities of a private review agent in connection with...
• § 20-9-905 - Penalty.
  (a) A person who violates any provision of this subchapter or any regulation adopted under this subchapter shall be guilty of a violation and...
• § 20-9-906 - Duties of State Board of Health.
  (a) (1) In accordance with the Arkansas Administrative Procedure Act, § 25-15-201 et seq., the State Board of Health shall adopt regulations to implement...
• § 20-9-907 - Health Insurance Plans -- Insurers.
  (a) (1) Every health insurance plan proposing to issue or deliver a health insurance policy or contract or administer a health benefit program which...
• § 20-9-908 - Application for Certification -- Fee.
  (a) An applicant for a certificate shall: (1) Submit an application to the State Board of Health; and (2) Pay to the board the...
• § 20-9-909 - Information Required With Application.
  In conjunction with the application, the private review agent shall submit information that the State Board of Health requires, including: (1) A utilization review...
• § 20-9-910 - Expiration of Certificate -- Renewal.
  (a) A certificate expires on the second anniversary of its effective date unless the certificate is renewed for a two-year term as provided in...
• § 20-9-911 - Revocation or Denial of Certificate.
  (a) The State Board of Health may revoke or deny a certificate if the holder does not comply with performance assurances under this section,...
• § 20-9-912 - Appeals.
  (a) (1) Before denying or revoking a certificate under this subchapter, the State Board of Health shall provide the applicant or certificate holder with...
• § 20-9-913 - Confidentiality.
  A private review agent may not disclose or publish individual medical records or any other confidential medical information obtained in the performance of utilization...
• § 20-9-914 - Liability Unaffected.
  Nothing in this subchapter shall be deemed to reduce or expand the liability of any person or entity for any actions or activities with...

Last modified: November 15, 2016