Arkansas Code Title 23, Subtitle 3, Chapter 99, Subchapter 4 - Arkansas Health Care Consumer Act
- § 23-99-401 - Short Title.
This subchapter shall be known and may be cited as the "Arkansas Health Care Consumer Act".
- § 23-99-402 - Legislative Findings and Intent.
As the state's insurance sector becomes increasingly dominated by managed care features that include decisions regarding coverage and appropriateness of health care, there is...
- § 23-99-403 - Definitions.
As used in this subchapter: (1) "Acute condition" means a medical condition, illness, or disease having a short and relatively severe course; (2) "Commissioner"...
- § 23-99-404 - Benefits for Mothers and Newborns.
(a) (1) Except as provided in subsection (b) of this section, a healthcare insurer may not restrict benefits for any hospital stay in connection...
- § 23-99-405 - Mastectomies.
(a) Every health benefit plan providing mastectomy benefits and issued or renewed after July 16, 2003, shall conform with the requirements of the Women's...
- § 23-99-406 - Obstetrical and Gynecological Services.
(a) In order to ensure that healthcare benefits are safely and appropriately delivered to women, insurers which require the selection or assignment of a...
- § 23-99-407 - "Gag Clause" Prohibition.
No participating provider may be prohibited, restricted, or penalized in any way from disclosing to any covered person any healthcare information that the participating...
- § 23-99-408 - Continuity of Care.
(a) When healthcare insurers use participating providers, the healthcare insurers shall develop procedures to provide for the continuity of care of their covered persons....
- § 23-99-409 - Prescription Drug Formulary.
When a healthcare insurer uses a formulary for prescription drugs, the insurer shall include a written procedure whereby covered persons can obtain, without penalty...
- § 23-99-410 - Grievance Procedures.
(a) A healthcare insurer issuing or delivering a managed care plan shall establish for those managed care plans a grievance procedure which provides covered...
- § 23-99-411 - Processing Applications of Providers.
(a) (1) (A) Healthcare insurers shall establish mechanisms to ensure timely processing of requests for participation or renewal by providers and in making decisions...
- § 23-99-412 - Provider Input.
All healthcare insurers issuing or delivering managed care plans shall be required to establish a mechanism whereby participating providers provide input into the healthcare...
- § 23-99-413 - Disclosure Requirements.
Upon request, healthcare insurers must provide the following information in a clear and understandable form to all prospective policyholders, policyholders, and covered persons. Insurers...
- § 23-99-414 - Regulations.
The Insurance Commissioner may promulgate necessary rules and regulations for carrying out this subchapter.
- § 23-99-415 - Enforcement and Penalties.
The Insurance Commissioner shall have all the powers to enforce this subchapter as are granted to the commissioner elsewhere in the Arkansas Insurance Code.
- § 23-99-416 - Application of Subchapter.
This subchapter applies to all health benefit plans issued, renewed, extended, or modified on or after August 1, 1997. "Renewed, extended, or modified" shall...
- § 23-99-417 - Coverage Required for Orthotic Devices, Orthotic Services, Prosthetic Devices, and Prosthetic Services.
(a) (1) Subject to subdivision (a)(2) of this section and subsections (b) and (c) of this section, a health benefit plan that is issued...
- § 23-99-418 - Coverage for Autism Spectrum Disorders Required -- Definitions.
(a) As used in this section: (1) "Applied behavior analysis" means the design, implementation, and evaluation of environmental modifications by a board-certified behavior analyst...
- § 23-99-419 - Gastric Pacemakers.
(a) As used in this section: (1) "Gastric pacemaker" means a medical device that: (A) Uses an external programmer and implanted electrical leads to...
- § 23-99-420 - [Repealed.]
- § 23-99-421 - Pediatric Dental Benefits -- Definitions.
(a) As used in this section: (1) "Exchange" means a health benefit exchange that offers health benefits under a health benefit plan offered by...
Last modified: November 15, 2016