Current with legislation from 2024 Fiscal and Special Sessions.
Section 25-15-502 - Definition(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 program that are issued by the Centers for Medicare & 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.Added by Act 2017, No. 605,§ 3, eff. 8/1/2017.