Definitions

Ark. Code Ann. § 23-79-3301 — under Insurance Policies Generally.

Ark. Code Ann. § 23-79-3301

(1) As used in this subchapter:(1) (A) “Breastfeeding and lactation consultant” means:(i) An International Board Certified Lactation Consultant; and(ii) (a) A certified lactation counselor.(b) The individuals listed under subdivision (1)(A)(ii)(a) of this section are required to be supervised by a contracted and in-network healthcare provider to receive reimbursement.(B) The Arkansas Medicaid Program shall reimburse the individuals listed under subdivision (1)(A) of this section for breastfeeding and lactation consulting services if the individuals:(i) Have a Medicaid number; or(ii) Are otherwise compliant with all requirements for reimbursement under the Arkansas Medicaid Program;(2) “Breastfeeding and lactation consultant services” means medically appropriate outpatient services or hospital services, or both, provided by a breastfeeding and lactation consultant during pregnancy and through the extended postpartum period to aid in milk expression or infant nutrition;(3) (A) “Enrollee” means an individual entitled to coverage of healthcare services from a healthcare insurer.(B) “Enrollee” includes a minor child;(4) (A) “Health benefit plan” means:(i) An individual, blanket, or group plan or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state 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, ARKids A or ARKids B under the ARKids First Program, and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.(B) “Health benefit plan” includes:(i) Indemnity and managed care plans; and(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.(C) “Health benefit plan” does not include:(i) A plan that provides only dental benefits or eye and vision care benefits;(ii) A disability income plan;(iii) A credit insurance plan;(iv) Insurance coverage issued as a supplement to liability insurance;(v) A medical payment under an automobile or homeowners insurance plan;(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;(vii) A plan that provides only indemnity for hospital confinement;(viii) An accident-only plan;(ix) A specified disease plan; or(x) A long-term-care-only plan; and(5) (A) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including without limitation an insurance company, a hospital and medical service corporation, a health maintenance organization, a self-insured governmental or church plan in this state, the Arkansas Medicaid Program, or a nonprofit agricultural membership organization as defined in § 23-60-104.(B) “Healthcare insurer” does not include an entity that provides only dental benefits or eye and vision care benefits.

(1) (A) “Breastfeeding and lactation consultant” means:(i) An International Board Certified Lactation Consultant; and(ii) (a) A certified lactation counselor.(b) The individuals listed under subdivision (1)(A)(ii)(a) of this section are required to be supervised by a contracted and in-network healthcare provider to receive reimbursement.(B) The Arkansas Medicaid Program shall reimburse the individuals listed under subdivision (1)(A) of this section for breastfeeding and lactation consulting services if the individuals:(i) Have a Medicaid number; or(ii) Are otherwise compliant with all requirements for reimbursement under the Arkansas Medicaid Program;

(A) “Breastfeeding and lactation consultant” means:(i) An International Board Certified Lactation Consultant; and(ii) (a) A certified lactation counselor.(b) The individuals listed under subdivision (1)(A)(ii)(a) of this section are required to be supervised by a contracted and in-network healthcare provider to receive reimbursement.

(i) An International Board Certified Lactation Consultant; and

(ii) (a) A certified lactation counselor.(b) The individuals listed under subdivision (1)(A)(ii)(a) of this section are required to be supervised by a contracted and in-network healthcare provider to receive reimbursement.

(a) A certified lactation counselor.

(b) The individuals listed under subdivision (1)(A)(ii)(a) of this section are required to be supervised by a contracted and in-network healthcare provider to receive reimbursement.

(B) The Arkansas Medicaid Program shall reimburse the individuals listed under subdivision (1)(A) of this section for breastfeeding and lactation consulting services if the individuals:(i) Have a Medicaid number; or(ii) Are otherwise compliant with all requirements for reimbursement under the Arkansas Medicaid Program;

(i) Have a Medicaid number; or

(ii) Are otherwise compliant with all requirements for reimbursement under the Arkansas Medicaid Program;

(2) “Breastfeeding and lactation consultant services” means medically appropriate outpatient services or hospital services, or both, provided by a breastfeeding and lactation consultant during pregnancy and through the extended postpartum period to aid in milk expression or infant nutrition;

(3) (A) “Enrollee” means an individual entitled to coverage of healthcare services from a healthcare insurer.(B) “Enrollee” includes a minor child;

(A) “Enrollee” means an individual entitled to coverage of healthcare services from a healthcare insurer.

(B) “Enrollee” includes a minor child;

(4) (A) “Health benefit plan” means:(i) An individual, blanket, or group plan or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state 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, ARKids A or ARKids B under the ARKids First Program, and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.(B) “Health benefit plan” includes:(i) Indemnity and managed care plans; and(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.(C) “Health benefit plan” does not include:(i) A plan that provides only dental benefits or eye and vision care benefits;(ii) A disability income plan;(iii) A credit insurance plan;(iv) Insurance coverage issued as a supplement to liability insurance;(v) A medical payment under an automobile or homeowners insurance plan;(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;(vii) A plan that provides only indemnity for hospital confinement;(viii) An accident-only plan;(ix) A specified disease plan; or(x) A long-term-care-only plan; and

(A) “Health benefit plan” means:(i) An individual, blanket, or group plan or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state 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, ARKids A or ARKids B under the ARKids First Program, and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.

(i) An individual, blanket, or group plan or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state 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, ARKids A or ARKids B under the ARKids First Program, and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.

(B) “Health benefit plan” includes:(i) Indemnity and managed care plans; and(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.

(i) Indemnity and managed care plans; and

(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.

(C) “Health benefit plan” does not include:(i) A plan that provides only dental benefits or eye and vision care benefits;(ii) A disability income plan;(iii) A credit insurance plan;(iv) Insurance coverage issued as a supplement to liability insurance;(v) A medical payment under an automobile or homeowners insurance plan;(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;(vii) A plan that provides only indemnity for hospital confinement;(viii) An accident-only plan;(ix) A specified disease plan; or(x) A long-term-care-only plan; and

(i) A plan that provides only dental benefits or eye and vision care benefits;

(ii) A disability income plan;

(iii) A credit insurance plan;

(iv) Insurance coverage issued as a supplement to liability insurance;

(v) A medical payment under an automobile or homeowners insurance plan;

(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;

(vii) A plan that provides only indemnity for hospital confinement;

(viii) An accident-only plan;

(ix) A specified disease plan; or

(x) A long-term-care-only plan; and

(5) (A) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including without limitation an insurance company, a hospital and medical service corporation, a health maintenance organization, a self-insured governmental or church plan in this state, the Arkansas Medicaid Program, or a nonprofit agricultural membership organization as defined in § 23-60-104.(B) “Healthcare insurer” does not include an entity that provides only dental benefits or eye and vision care benefits.

(A) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including without limitation an insurance company, a hospital and medical service corporation, a health maintenance organization, a self-insured governmental or church plan in this state, the Arkansas Medicaid Program, or a nonprofit agricultural membership organization as defined in § 23-60-104.

(B) “Healthcare insurer” does not include an entity that provides only dental benefits or eye and vision care benefits.