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Current as of March 28, 2024 | Updated by Findlaw Staff
(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.
Cite this article: FindLaw.com - Arkansas Code Title 25. State Government § 25-15-502. Definition - last updated March 28, 2024 | https://codes.findlaw.com/ar/title-25-state-government/ar-code-sect-25-15-502/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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