(a) As used in this section:(1) “Cost-sharing requirement” means a deductible, coinsurance, copayment, or any maximum limitation on the application of a deductible, coinsurance, copayment, or similar out-of-pocket expense under a health benefit plan;(2) (A) “Health benefit plan” means:(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer; and(ii) A health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program or any successor program.(B) “Health benefit plan” does not include a health benefit plan provided under the Workers' Compensation Law, § 11-9-101 et seq.;(3) (A) “Healthcare insurer” means an insurance company, a hospital and medical service corporation, a health maintenance organization, a risk-based provider organization, or a sponsor of a self-funded health benefit plan, that:(i) Is subject to: (a) The insurance laws of this state; (b) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (c) Section 23-76-101 et seq., pertaining to health maintenance organizations; or(ii) For a healthcare insurer in another state: (a) Is not otherwise exempt from the insurance laws of this state; and (b) Has any subscribers in this state.(B) “Healthcare insurer” includes the Arkansas Medicaid Program;(4) “Healthcare provider” means:(A) A doctor of medicine, a doctor of osteopathy, or another licensed healthcare professional acting within the healthcare professional's licensed scope of practice; or(B) A healthcare facility licensed in the state where the healthcare facility is located to provide healthcare services;(5) “Healthcare service” means a healthcare procedure, treatment, or service provided by a healthcare provider;(6) “Mobile unit” means a premanufactured structure, trailer, or self-propelled unit equipped with a chassis on wheels that:(A) Is intended to provide healthcare services on a temporary basis; and(B) Conforms to applicable rules promulgated by the Department of Health; and(7) “Subscriber” means an individual who is entitled to receive healthcare services under the terms of a health benefit plan.
(1) “Cost-sharing requirement” means a deductible, coinsurance, copayment, or any maximum limitation on the application of a deductible, coinsurance, copayment, or similar out-of-pocket expense under a health benefit plan;
(2) (A) “Health benefit plan” means:(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer; and(ii) A health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program or any successor program.(B) “Health benefit plan” does not include a health benefit plan provided under the Workers' Compensation Law, § 11-9-101 et seq.;
(A) “Health benefit plan” means:(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer; and(ii) A health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program or any successor program.
(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer; and
(ii) A health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program or any successor program.
(B) “Health benefit plan” does not include a health benefit plan provided under the Workers' Compensation Law, § 11-9-101 et seq.;
(3) (A) “Healthcare insurer” means an insurance company, a hospital and medical service corporation, a health maintenance organization, a risk-based provider organization, or a sponsor of a self-funded health benefit plan, that:(i) Is subject to: (a) The insurance laws of this state; (b) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (c) Section 23-76-101 et seq., pertaining to health maintenance organizations; or(ii) For a healthcare insurer in another state: (a) Is not otherwise exempt from the insurance laws of this state; and (b) Has any subscribers in this state.(B) “Healthcare insurer” includes the Arkansas Medicaid Program;
(A) “Healthcare insurer” means an insurance company, a hospital and medical service corporation, a health maintenance organization, a risk-based provider organization, or a sponsor of a self-funded health benefit plan, that:(i) Is subject to: (a) The insurance laws of this state; (b) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (c) Section 23-76-101 et seq., pertaining to health maintenance organizations; or(ii) For a healthcare insurer in another state: (a) Is not otherwise exempt from the insurance laws of this state; and (b) Has any subscribers in this state.
(i) Is subject to: (a) The insurance laws of this state; (b) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (c) Section 23-76-101 et seq., pertaining to health maintenance organizations; or
(a) The insurance laws of this state;
(b) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or
(c) Section 23-76-101 et seq., pertaining to health maintenance organizations; or
(ii) For a healthcare insurer in another state: (a) Is not otherwise exempt from the insurance laws of this state; and (b) Has any subscribers in this state.
(a) Is not otherwise exempt from the insurance laws of this state; and
(b) Has any subscribers in this state.
(B) “Healthcare insurer” includes the Arkansas Medicaid Program;
(4) “Healthcare provider” means:(A) A doctor of medicine, a doctor of osteopathy, or another licensed healthcare professional acting within the healthcare professional's licensed scope of practice; or(B) A healthcare facility licensed in the state where the healthcare facility is located to provide healthcare services;
(A) A doctor of medicine, a doctor of osteopathy, or another licensed healthcare professional acting within the healthcare professional's licensed scope of practice; or
(B) A healthcare facility licensed in the state where the healthcare facility is located to provide healthcare services;
(5) “Healthcare service” means a healthcare procedure, treatment, or service provided by a healthcare provider;
(6) “Mobile unit” means a premanufactured structure, trailer, or self-propelled unit equipped with a chassis on wheels that:(A) Is intended to provide healthcare services on a temporary basis; and(B) Conforms to applicable rules promulgated by the Department of Health; and
(A) Is intended to provide healthcare services on a temporary basis; and
(B) Conforms to applicable rules promulgated by the Department of Health; and
(7) “Subscriber” means an individual who is entitled to receive healthcare services under the terms of a health benefit plan.
(b) A healthcare insurer shall provide coverage to a subscriber for a healthcare service that is:(1) Provided in a mobile unit;(2) Billed by a healthcare provider using the place-of-service code designated for a mobile unit; and(3) Otherwise covered by the healthcare insurer in another place of service.
(1) Provided in a mobile unit;
(2) Billed by a healthcare provider using the place-of-service code designated for a mobile unit; and
(3) Otherwise covered by the healthcare insurer in another place of service.
(c) A healthcare insurer shall ensure that a subscriber's cost-sharing requirement for a healthcare service that is provided in a mobile unit is no less favorable than the cost-sharing requirement that is applicable to the same healthcare service provided in another place of service.