(a) This subchapter applies to:
(1) A healthcare insurer, whether or not the healthcare insurer is acting directly or indirectly through a private utilization review entity; and
(2) (A) A self-insured health plan for employees of governmental entities.
(B) A self-insured plan for employees of governmental entities is not subject to ยง 23-99-1112(b)(4)(C) or the Arkansas State Medical Board, State Board of Health, or the State Insurance Department.
(b) This subchapter applies to any healthcare service, whether or not the health benefit plan requires prior authorization or nonmedical review for the healthcare service.
(c) A request by a healthcare provider for authorization or approval of a service regulated under this subchapter before it is given shall be subject to this subchapter.
Section: Previous 23-99-1102 23-99-1103 23-99-1104 23-99-1105 23-99-1106 23-99-1107 23-99-1108 23-99-1109 23-99-1110 23-99-1111 23-99-1112 23-99-1113 23-99-1114 NextLast modified: November 15, 2016