There is a newer version
of
this Section
2017 Arkansas Code
Title 25 - State Government
Chapter 10 - Department of Human Services
Subchapter 1 - General Provisions
§ 25-10-143. Advisory opinions
Universal Citation: AR Code § 25-10-143 (2017)
- (a) As used in this section, "advisory opinion" means a written statement by the Director of the Department of Human Services or his or her designee that explains the applicability to a specified set of facts of a pertinent statutory or regulatory provision relating to the provision of medical items or services under the medical assistance program administered by the Department of Human Services.
- (b)
- (1) The director may issue an advisory opinion at the request of a provider enrolled in the medical assistance program.
- (2) Except as under subsection (h) of this section, the opinion is binding upon the director with respect to that provider only.
- (3) If the director cannot respond to the request for an advisory opinion, the director shall within thirty (30) days notify the provider that he or she will not be responding to the request for an opinion.
- (c) A provider may request an advisory opinion concerning:
- (1) A substantive question or a procedural matter;
- (2) Questions arising before an audit or investigation concerning a provider's claim for payment or reimbursement; and
- (3) A hypothetical or projected service plan.
- (d) The director shall not issue an advisory opinion if the request for an advisory opinion relates to a pending question raised by the provider in an ongoing or initiated investigation conducted by the Medicaid Inspector General, the Attorney General, a criminal investigation, or a civil or criminal proceeding, or if the provider has received a written notice from the director or the Medicaid Inspector General that advises the provider of an imminent investigation, audit, suspended claim, or withholding of payment or reimbursement.
- (e) This section does not supersede a federal regulation, law, requirement, or guidance.
- (f) The director shall adopt a rule establishing the time within which an advisory opinion shall be issued and the criteria for determining the eligibility of a request for departmental response.
- (g) An advisory opinion represents an expression of the views of the director as to the application of laws, rules, and other precedential material to the set of facts specified in the request for an advisory opinion.
- (h)
- (1) A previously issued advisory opinion found by the director to be in error may be modified or revoked.
- (2) If the director modifies or revokes an advisory opinion, the modification or revocation operates prospectively.
- (3) A recovery of medical assistance overpayments caused by a provider's reliance on an advisory opinion that is later modified or revoked is prohibited for the period up until the modification or revocation unless the provider is involved in fraud.
- (4) The department promptly shall notify the provider of a modification or revocation of an advisory opinion.
- (i) An advisory opinion shall include the following notice: "This advisory opinion is limited to the person or persons who requested the opinion and it pertains only to the facts and circumstances presented in the request."
- (j) An advisory opinion shall cite the pertinent law and rule upon which the advisory opinion is based.
- (k) An advisory opinion or a modification or revocation of a previously issued advisory opinion is a public record.
Disclaimer: These codes may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
