2010 Arkansas Code
Title 23 - Public Utilities and Regulated Industries
Subtitle 3 - Insurance
Chapter 99 - Health Care Providers
Subchapter 7 - Grievance Systems and Quality Assessment and Improvement Systems
§ 23-99-702 - Definitions.

23-99-702. Definitions.

As used in this subchapter:

(1) "Commissioner" means the Insurance Commissioner;

(2) "Director" means the Director of the Department of Health;

(3) "Health care services" means any services included in the furnishing to any individual of medical or dental care, hospitalization, or services incident to the furnishing of care or hospitalization, as well as the furnishing to any person of any and all other services or goods for the purpose of preventing, alleviating, curing, or healing human illness or injury;

(4) "Health carrier" means any person who undertakes to provide or arrange for one (1) or more managed care plans;

(5) "Managed care plan" means any arrangement whereby a health carrier undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care services, and at least part of the arrangement consists of arranging for or the provision of health care services as distinguished from mere indemnifications against the cost of the services on a prepaid basis through insurance or otherwise; and

(6) "Network" when used to describe a provider of health services, including, but not limited to, a hospital, physician, home health agency, pharmacy, etc., means that the provider has a participation agreement in effect with a health carrier, directly or through another entity, to provide health services to covered persons.