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Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-99-1403. Definitions

Current as of March 28, 2024 | Updated by FindLaw Staff

As used in this subchapter:

(1) “Contracting entity” means a healthcare insurer or a subcontractor, affiliate, or other entity that contracts directly or indirectly with a healthcare provider for the delivery of healthcare services to enrollees;

(2) “Healthcare contract” means a contract entered into, materially amended, or renewed between a contracting entity and a healthcare provider for the delivery of healthcare services to enrollees;

(3)(A) “Healthcare insurer” means an entity that is subject to state insurance regulation and provides health insurance in this state.

(B) “Healthcare insurer” includes:

(i) An insurance company;

(ii) A health maintenance organization;

(iii) A hospital and medical service corporation;

(iv) A risk-based provider organization; and

(v) A sponsor of a nonfederal self-funded governmental plan;

(4) “Healthcare provider” means a person or entity that is licensed, certified, or otherwise authorized by the laws of this state to provide healthcare services; and

(5) “Temporary hospital facility” means a facility that was previously licensed as an ambulatory surgery center that has:

(A) Received a hospital license from the Department of Health; and

(B) Enrolled as a hospital under the Centers for Medicare & Medicaid Services’ Hospitals Without Walls program.

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Cite this article: FindLaw.com - Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-99-1403. Definitions - last updated March 28, 2024 | https://codes.findlaw.com/ar/title-23-public-utilities-and-regulated-industries/ar-code-sect-23-99-1403/

Read this complete Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-99-1403. Definitions on Westlaw

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