An act TO AMEND THE ARKANSAS HEALTH CARE CONSUMER 10 ACT, the official text

Stricken language would be deleted from and underlined language would be added to present law.

1 State of ArkansasAs Engrossed: H2/10/25 H2/13/25 H2/20/25 H2/27/25 S3/19/25

2 95th General Assembly          A Bill

3 Regular Session, 2025                                           HOUSE BILL 1288

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5 By: Representative L. Johnson

6 By: Senator Irvin

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8                                For An Act To Be Entitled

9   AN ACT TO AMEND THE ARKANSAS HEALTH CARE CONSUMER

10  ACT; TO REQUIRE A HEALTHCARE INSURER TO MAKE CERTAIN

11  RETROACTIVE PAYMENTS TO A PROVIDER UPON CREDENTIALING

12  OF A PROVIDER; AND FOR OTHER PURPOSES.

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15                               Subtitle

16                       TO AMEND THE ARKANSAS HEALTH CARE

17                       CONSUMER ACT; AND TO REQUIRE A

18                       HEALTHCARE INSURER TO MAKE CERTAIN

19                       RETROACTIVE PAYMENTS TO A PROVIDER UPON

20                       CREDENTIALING OF A PROVIDER.

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22 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

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24  SECTION 1. Arkansas Code � 23-99-411(a)(6), concerning the payment

25 responsibility of a healthcare insurer to a participating provider, is

26 amended to read as follows:

27  (6)(A)(i) For Except as provided in subdivision (a)(6)(B) of

28 this section, for payment purposes, a healthcare insurer shall treat an

29 applicant physician as a participating physician from the date of submission

30 of a substantially completed application once an applicant physician has been

31 approved through an insurer's credentialing process.

32                               (ii) As used in subdivision (a)(6)(A)(i) of this

33 section, "date of submission of a substantially completed application" means

34 the date a healthcare insurer receives an applicant physician's

35 credentialling information, as defined under � 17-95-107, from the

36 Centralized Credentials Verification Service of the Arkansas State Medical

    *ANS017*                                                      03-19-2025 14:23:40 ANS017
    As Engrossed: H2/10/25 H2/13/25 H2/20/25 H2/27/25 S3/19/25  HB1288

1 Board.

2         (B) Subdivision (a)(6)(A) of this section does not apply

3 to the Arkansas Medicaid Program.

4         /s/L. Johnson

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