20-9-909. Information required with application.

Arkansas Code — all titles (historical 2020) · legal_authorities

20-9-909. Information required with application.

20-9-909. Information required with application. In conjunction with the application, the private review agent shall submit information that the State Board of Health requires, including: (1) A utilization review plan that includes: (A) A description of review standards and procedures to be used in evaluating proposed or delivered hospital and medical care; and (B) The provisions by which patients, physicians, or hospitals may seek reconsideration or appeal of adverse decisions by the private review agent; (2) The type and qualifications of the personnel either employed or under contract to perform the utilization review; (3) The procedures and policies to ensure that a representative of the private review agent is reasonably accessible to patients and providers five (5) days a week during normal business hours in this state; (4) The policies and procedures to ensure that all applicable state and federal laws to protect the confidentiality of individual medical records are followed; (5) A copy of the materials designed to inform applicable patients and providers of the requirements of the utilization review plan; and (6) A list of the third party payors for which the private review agent is performing utilization review in this state.

Source: Arkansas Code — historical release 78 (November 6, 2020) · 20-9-909

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.