Title 20, Public Health and Welfare

(a) (1) There is created within the Arkansas Medicaid Program Trust Fund a designated account known as the “Medical Transportation Assessment Account”.(2) The medical transportation provider assessments imposed under § 20-77-2803 shall be deposited into the Medical Transportation…

(a) The following medical transportation providers are exempt from the assessment imposed under § 20-77-2803 unless the exemption is adjudged to be unconstitutional or otherwise determined to be invalid:(1) Volunteer ambulance services;(2) Ambulance services owned by the state, c…

(a) (1) The annual medical transportation provider assessment imposed under § 20-77-2803 shall be due and payable on a quarterly basis.(2) However, an installment payment of an assessment imposed by § 20-77-2803 shall not be due and payable until:(A) The Division of Medical Servi…

(a) (1) The Division of Medical Services of the Department of Human Services shall send a notice of assessment to each medical transportation provider informing the medical transportation provider of the assessment rate, the medical transportation provider's net operating revenue…

(a) To preserve and improve access to medical transportation services, for medical transportation services rendered on or after July 1, 2017, the Division of Medical Services of the Department of Human Services shall make emergency medical transportation access payments as set fo…

(a) The medical transportation provider assessment imposed under § 20-77-2803 shall cease to be imposed, the emergency medical transportation access payments made under § 20-77-2809 shall cease to be paid, and any moneys remaining in the Medical Transportation Assessment Account …

(a) The Division of Medical Services of the Department of Human Services shall file with the Centers for Medicare & Medicaid Services a state plan amendment to implement the requirements of this subchapter, including the payment of emergency medical transportation access payments…

(a) The Arkansas Medicaid Program shall reimburse for depression screening of a pregnant woman. (b) The Department of Human Services shall apply for any federal waiver, Medicaid state plan amendments, or other authority necessary to implement this section.

(a) The Arkansas Medicaid Program shall reimburse for prenatal, delivery, and postpartum services separately in lieu of a global payment or an all-inclusive payment methodology for maternity services. (b) Prenatal, delivery, and postpartum services include without limitation:(1) …

(a) The Arkansas Medicaid Program shall make presumptive eligibility determinations for pregnant women who are applying for the program to improve access to prenatal care and allow prenatal care to be delivered immediately while waiting for a full application to be processed. (b)…

(a) The Arkansas Medicaid Program shall provide coverage and reimbursement for self-measurement blood pressure monitoring services for pregnant women and postpartum women. (b) Self-measurement blood pressure monitoring services shall include:(1) Validated blood pressure monitorin…

(a) (1) The Arkansas Medicaid Program shall reimburse for medically necessary remote ultrasound procedures utilizing established Current Procedural Terminology codes for remote ultrasound procedures when the patient is in a residence or other off-site location from the healthcare…

The Arkansas Medicaid Program shall reimburse doulas and community health workers for home visitation related to prenatal care and postpartum care.

(1) The Department of Human Services shall:(1) Apply for any federal waiver, Medicaid state plan amendments, or other authority necessary to implement this subchapter; and(2) Adopt rules to implement this subchapter. (1) Apply for any federal waiver, Medicaid state plan amendment…

(a) (1) When medical assistance benefits are provided or will be provided to a medical assistance recipient because of injury, disease, disability, or death for which a third party is or may be liable, the appropriate division of the Department of Human Services may recover from …

(a) When an action or claim is brought by a medical assistance recipient or his or her legal representative against a third party who may be liable for injury, disease, disability, or death of a medical assistance recipient, any settlement, judgment, or award obtained is subject …

(a) If an action is prosecuted both by the medical assistance recipient and the division against a third party who is or may be liable for injury, disease, disability, or death of the medical assistance recipient, then in the event of judgment or award in a suit or claim against …

(a) (1) If either the medical assistance recipient or the appropriate division brings an action or claim against a third party, the recipient or Department of Human Services shall give to the other party written notice of the action or claim by personal service or registered mail…

(a) A judgment, an award, or a settlement in any action or claim by a medical assistance recipient to recover damages for injuries, disease, disability, or death in which the Department of Human Services has an interest, shall not be satisfied without first giving the department …

(a) As used in this section:(1) “Health insurer” means a commercial insurance company offering health or casualty insurance to individuals or groups including without limitation experience-rated insurance contracts and indemnity contracts that offer the following:(A) Automobile i…

(a) As a condition of eligibility, every Medicaid applicant shall automatically assign his or her right to any settlement, judgment, or award which may be obtained against any third party to the Department of Human Services to the full extent of any amount which may be paid by Me…

All recipients of medical assistance under the Arkansas Medicaid Program shall be deemed to have authorized all third parties including, but not limited to, insurance companies and providers of medical care to release to the Department of Human Services information needed by the …

No policy of accident or illness insurance issued or renewed after July 1, 1981, shall contain any provision denying or reducing benefits because services are rendered to an insured or dependent who is eligible for medical assistance under the Arkansas Medicaid Program.

After July 1, 1981, no service plan corporation shall deliver, issue for delivery, or renew any subscriber's contract which contains any provision denying or reducing benefits because services are rendered to a subscriber or dependent who is eligible for medical assistance under …

After July 1, 1981, no association authorized to do business in this state which provides or pays for any healthcare benefits shall issue any certificate which contains any provision denying or reducing benefits because services are rendered to a certificate holder or beneficiary…

General exclusion or reduction provisions relating to benefits paid by or eligibility under governmental programs, whether state or federal, shall not be construed to apply to the Arkansas Medicaid Program.

Billing statements forwarded to recipients of medical assistance by vendors of medical care shall clearly state that reimbursement from the Arkansas Medicaid Program is contemplated.

(1) As used in this subchapter:(1) “Action” or “claim” means a complaint, demand letter, or any other notification given to a third party by the Department of Human Services, the medical assistance recipient, the recipient's attorney, or any person acting on behalf of the recipie…

(a) The Department of Human Services is entitled to reimbursement for past medical assistance payments from that portion of a third-party settlement, judgment, or award or from any other third-party payment that compensates for the medical expenses. (b) The department is entitled…

The purpose of this subchapter is to allow for the continued operation of a prescription drug program as a portion of the Title XIX Medicaid Program for the State of Arkansas.

(a) The Secretary of the Department of Human Services and the deputy director of the appropriate division of the Department of Human Services are authorized to provide for continued coverage of prescription drugs under the Title XIX Medicaid Program for the State of Arkansas. (b)…

(a) The Secretary of the Department of Human Services and the deputy director shall pay each participating pharmacist for each prescription filled under this program the pharmacist's usual and customary charge to the general public for the drug. (b) However, until existing federa…

(a) The Secretary of the Department of Human Services and the deputy director are directed to seek approval by the United States Department of Health and Human Services of the provisions of this subchapter so as to qualify this program for maximum contributions from the United St…

Drugs dispensed under the Arkansas Medicaid Program provided for in this subchapter shall, so far as possible, be prescribed and dispensed as generic drugs.

(a) The Arkansas Medicaid Program shall allow an adult beneficiary to have six (6) prescriptions per month. (b) Prescriptions issued under the program shall be renewed at time intervals consistent with and no stricter than state and federal laws. (c) The program shall not count a…

(a) No more than two (2) years before making any changes to the current pharmaceutical dispensing fee, the Department of Human Services shall conduct an independent survey utilizing generally accepted accounting principles to determine the cost of dispensing a prescription by pha…

(a) As used in this section, “respiratory syncytial virus disease” means a respiratory infection of the nose, throat, and lungs caused by the respiratory syncytial virus. (b) The Arkansas Medicaid Program shall reimburse an administration fee that is equal to one hundred percent …

(1) In establishing and maintaining the formulary and preferred drug list for the Arkansas Medicaid Program, the Department of Human Services shall ensure that a non-opioid drug approved by the United States Food and Drug Administration with no therapeutic equivalent for the trea…

For the purpose of this subchapter, unless the context otherwise requires, the term “ocular practitioner” shall include all persons licensed under the Arkansas Medical Practices Act, § 17-95-201 et seq., § 17-95-301 et seq., and § 17-95-401 et seq., and all persons licensed under…

(a) Nothing in this subchapter shall apply to any person who personally takes, carries, or transports a person with an injured or cut eye due to a current accidental injury or current trauma to any physician or surgeon licensed under the Arkansas Medical Practices Act, § 17-95-20…

Nothing in this subchapter shall be construed to enlarge or diminish the practice of optometry as defined by law in § 17-90-101.

(a) Any person violating this subchapter shall be guilty of a violation and upon conviction shall be fined in any sum not less than ten dollars ($10.00) nor more than twenty-five dollars ($25.00). (b) Each violation shall constitute a separate offense and shall be punishable as s…

(a) The circuit courts of this state having general equity jurisdiction are vested with jurisdiction and power to enjoin any violation of this subchapter by complaint by any resident or state board of this state in the county in which the alleged violation of this subchapter occu…

(a) Every person eligible for an eye examination, the payment for which shall or may be made out of public money, is guaranteed his or her freedom of choice between persons licensed under the laws governing the practice of optometry, § 17-90-101 et seq., and persons licensed unde…

(a) When expending public money for any purpose involving human eye examinations or the care of vision or examinations for the correction or relief of any visual or muscular anomaly of the eye, any state board, agency, commission, department, or political subdivision, or any empl…

The recommendation or naming of any particular ocular practitioner or group of ocular practitioners, professional association or firm, corporation, or association by any state employee or member of any state board, commission, department, political subdivision, or public school e…