Eligibility for prior authorization exemption following finalized exemption rescission or denial

Ark. Code Ann. § 23-99-1125 — under Healthcare Providers.

Ark. Code Ann. § 23-99-1125

(a) After a final determination or review affirming the rescission or denial of an exemption for a specific healthcare service under § 23-99-1120, a healthcare insurer shall conduct another evaluation to determine whether or not the exemption should be granted or reinstated based on the six-month evaluation period that follows the evaluation period that formed the basis of the rescission or denial of an exemption.

(b) A time period that is included in a previous evaluation or determination period shall not be included in a subsequent evaluation period.