There is a newer version
of
this Section
2017 Arkansas Code
Title 25 - State Government
Chapter 15 - Administrative Procedures
Subchapter 5 - Rules Impacting Medicaid Costs
§ 25-15-502. Definition
Universal Citation: AR Code § 25-15-502 (2017)
- (a) As used in this section, "rule impacting state Medicaid costs" means a proposed rule as defined by § 25-15-202(9), or a proposed amendment to an existing rule as defined by § 25-15-202(9), that would, if adopted, adjust Medicaid reimbursement rates, Medicaid eligibility criteria, or Medicaid benefits, including without limitation a proposed rule or a proposed amendment to an existing rule seeking to:
- (1) Reduce the number of individuals covered by the Arkansas Medicaid Program;
- (2) Limit the types of services covered by the program;
- (3) Reduce the utilization of services covered by the program;
- (4) Reduce provider reimbursement;
- (5) Increase consumer cost sharing;
- (6) Reduce the cost of administering the program;
- (7) Increase the program revenues;
- (8) Reduce fraud and abuse in the program;
- (9) Change any of the methodologies used for reimbursement of providers;
- (10) Seek a new waiver or modification of an existing waiver of any provision under Title XIX of the Social Security Act, 42 U.S.C. § 1396-1 et seq., including a waiver that would allow a demonstration project;
- (11) Participate or seek to participate in the waiver authority of Section 1115(a)(1) of the Social Security Act, 42 U.S.C. § 1315(a)(1), that would allow operation of a demonstration project or program;
- (12) Participate or seek to participate in a request under Section 1115(a)(2) of the Social Security Act, 42 U.S.C. § 1315(a)(2), for the United States Secretary of Health and Human Services to provide federal financial participation for costs associated with a demonstration project or program;
- (13) Implement managed care provisions under Section 1932 of the Social Security Act, 42 U.S.C. § 1396u-2; or
- (14) Participate or seek to participate in the projects or programs of the Center for Medicare and Medicaid Innovation.
- (b) "Rule impacting state Medicaid costs" does not include a modification, addition, or elimination of the medical codes used within the Arkansas Medicaid Program that are issued by the Centers for Medicare and Medicaid Services, including without limitation:
- (1) Current Procedural Terminology codes;
- (2) Healthcare Common Procedure Coding System codes;
- (3) International Classification of Diseases codes;
- (4) National Uniform Billing Committee Official UB-04 Data Specifications Manual codes; and
- (5) National Correct Coding Initiative codes.
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.
