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20-77-1707. Prior authorizations — Retrospective reviews.
Arkansas Code — all titles (historical 2020) · legal_authorities
20-77-1707. Prior authorizations — Retrospective reviews.
If the Department of Human Services requires a provider to justify the medical necessity of a service through prior authorization, the department shall not later take the position that the services were not medically necessary, unless the retrospective review establishes that:
(1) The previous authorization was based upon misrepresentation by act or omission;
(2) The services billed were not provided; or
(3) An unexpected change occurred that rendered the prior-authorized care not medically necessary.
Source: Arkansas Code — historical release 78 (November 6, 2020) · 20-77-1707
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. A text match is a research starting point; applicability is not established.
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Record provenance
Stable record: arkansas_code:legal_authorities:20-77-1707
Source file: gov.ar.code.title.20.odt
Pages: Not recorded – Not recorded
Passage SHA-256: acf3599a4de545c39962c641508637d32270f4f3ec035cbb1bc7ae5bf21d97e7
Source location: content.xml paragraph 37531
Stored source content
20-77-1707. Prior authorizations — Retrospective reviews.
If the Department of Human Services requires a provider to justify the medical necessity of a service through prior authorization, the department shall not later take the position that the services were not medically necessary, unless the retrospective review establishes that:
(1) The previous authorization was based upon misrepresentation by act or omission;
(2) The services billed were not provided; or
(3) An unexpected change occurred that rendered the prior-authorized care not medically necessary.
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