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25-15-502. Definition.

Arkansas Code — all titles (historical 2020) · legal_authorities

25-15-502. Definition.

25-15-502. Definition. (a) As used in this section, “rule impacting state Medicaid costs” means a proposed rule as defined by § 25-15-202(9), or a proposed amendment to an existing rule as defined by § 25-15-202(9), that would, if adopted, adjust Medicaid reimbursement rates, Medicaid eligibility criteria, or Medicaid benefits, including without limitation a proposed rule or a proposed amendment to an existing rule seeking to: (1) Reduce the number of individuals covered by the Arkansas Medicaid Program; (2) Limit the types of services covered by the program; (3) Reduce the utilization of services covered by the program; (4) Reduce provider reimbursement; (5) Increase consumer cost sharing; (6) Reduce the cost of administering the program; (7) Increase the program revenues; (8) Reduce fraud and abuse in the program; (9) Change any of the methodologies used for reimbursement of providers; (10) Seek a new waiver or modification of an existing waiver of any provision under Title XIX of the Social Security Act, 42 U.S.C. § 1396-1 et seq., including a waiver that would allow a demonstration project; (11) Participate or seek to participate in the waiver authority of Section 1115(a)(1) of the Social Security Act, 42 U.S.C. § 1315(a)(1), that would allow operation of a demonstration project or program; (12) Participate or seek to participate in a request under Section 1115(a)(2) of the Social Security Act, 42 U.S.C. § 1315(a)(2), for the United States Secretary of Health and Human Services to provide federal financial participation for costs associated with a demonstration project or program; (13) Implement managed care provisions under Section 1932 of the Social Security Act, 42 U.S.C. § 1396u-2; or (14) Participate or seek to participate in the p

Source: Arkansas Code — historical release 78 (November 6, 2020) · 25-15-502

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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Stable record: arkansas_code:legal_authorities:25-15-502
Source file: gov.ar.code.title.25.odt
Pages: Not recorded – Not recorded
Passage SHA-256: eeb7d8f213070602d883adde1fce43e701500b1c2c34e56930245cb1a44464b4

Source location: content.xml paragraph 4920

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25-15-502. Definition. (a) As used in this section, “rule impacting state Medicaid costs” means a proposed rule as defined by § 25-15-202(9), or a proposed amendment to an existing rule as defined by § 25-15-202(9), that would, if adopted, adjust Medicaid reimbursement rates, Medicaid eligibility criteria, or Medicaid benefits, including without limitation a proposed rule or a proposed amendment to an existing rule seeking to: (1) Reduce the number of individuals covered by the Arkansas Medicaid Program; (2) Limit the types of services covered by the program; (3) Reduce the utilization of services covered by the program; (4) Reduce provider reimbursement; (5) Increase consumer cost sharing; (6) Reduce the cost of administering the program; (7) Increase the program revenues; (8) Reduce fraud and abuse in the program; (9) Change any of the methodologies used for reimbursement of providers; (10) Seek a new waiver or modification of an existing waiver of any provision under Title XIX of the Social Security Act, 42 U.S.C. § 1396-1 et seq., including a waiver that would allow a demonstration project; (11) Participate or seek to participate in the waiver authority of Section 1115(a)(1) of the Social Security Act, 42 U.S.C. § 1315(a)(1), that would allow operation of a demonstration project or program; (12) Participate or seek to participate in a request under Section 1115(a)(2) of the Social Security Act, 42 U.S.C. § 1315(a)(2), for the United States Secretary of Health and Human Services to provide federal financial participation for costs associated with a demonstration project or program; (13) Implement managed care provisions under Section 1932 of the Social Security Act, 42 U.S.C. § 1396u-2; or (14) Participate or seek to participate in the projects or programs of the Center for Medicare and Medicaid Innovation. (b) “Rule impacting state Medicaid costs” does not include a modification, addition, or elimination of the medical codes used within the Arkansas Medicaid Program that are issued by the Centers for Medicare and Medicaid Services, including without limitation: (1) Current Procedural Terminology codes; (2) Healthcare Common Procedure Coding System codes; (3) International Classification of Diseases codes; (4) National Uniform Billing Committee Official UB-04 Data Specifications Manual codes; and (5) National Correct Coding Initiative codes.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1315 — Demonstration projects

**(a) Waiver of State plan requirements; costs regarded as State plan expenditures; availability of appropriations** In the case of any experimental, pilot, or demonstration project which, in the judgment of the Secretary, is likely to assist in promoting the objectives of subchapter I, X, XIV, XVI, or XIX, or part A or D of subchapter IV, in a State or States— (1) the Secretary may waive compliance with any of the requirements of section 302, 602, 654, 1202, 1352, 1382, or 1396a of this title, as the case may be, to the extent and for the period he finds necessary to enable such State or States to carry out such project, and (2) (A) costs of such project which would not otherwise be included as expenditures under section 303, 655, 1203, 1353, 1383, or 1396b of this title, as the case may be, and which are not included as part of the costs of projects under [section 1310 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1310&num=0&edition=prelim), shall, to the extent and for the period prescribed by the Secretary, be regarded as expenditures under the State plan or plans approved under such subchapter, or for administration of such State plan or plans, as may be appropriate, and (B) costs of such project which would not otherwise be a permissible use of funds under part A of subchapter IV and which are not included as part of the costs of projects under [section 1310 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1310&num=0&edition=prelim), shall to the extent and for the period prescribed by the Secretary, be regarded as a permissible use of funds under such part. In addition, not to exceed $4,000,000 of the aggregate amount appropriated for payments to States under such subch

Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1315

Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 1315. This identifies an authority to review, not proof of applicability.

Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1315 — Demonstration projects

Page 2582 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1315 1 See References in Text note below. (iv) Developing the criteria and guide- lines necessary for establishing safe resi- dential placements for foster children who have been sex trafficked as well as victims of trafficking identified through inter- action with law enforcement. (v) Developing training guidelines for caregivers that serve children and youth being cared for outside the home. (D) Informing States of best practices The Committee, in coordination with the National Governors Association, Secretary and Attorney General, shall ensure that State Governors and child welfare agencies are notified and informed on a quarterly basis of the best practices and recommenda- tions for States, and notified 6 months in ad- vance that the Committee will be evaluating the extent to which States adopt the Com- mittee’s recommendations. (E) Report on State implementation Within 3 years after the establishment of the Committee, the Committee shall submit to the Secretary and the Attorney General, as part of its final report as well as for on- line and publicly available publication, a de- scription of what each State has done to im- plement the recommendations of the Com- mittee. (e) Reports (1) In general The Committee shall submit an interim and a final report on the work of the Committee to— (A) the Secretary; (B) the Attorney General; (C) the Committee on Finance of the Sen- ate; and (D) the Committee on Ways and Means of the House of Representatives. (2) Reporting dates The interim report shall be submitted not later than 3 years after the establishment of the Committee. The final report shall be sub- mitted not later than 4 years after the estab- lishment of the Committee. (f) Administr

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1315

Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1315. This identifies an authority to review, not proof of applicability.

Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1396-1 — Appropriations

Page 4015 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1396a ‘‘(1) work with States, pediatric dentists, and other dental providers (including providers that are, or are affiliated with, a school of dentistry) to include, not later than 6 months after the date of the enactment of this Act [Feb. 4, 2009], on the Insure Kids Now website (http://www.insurekidsnow.gov/) and hotline (1–877–KIDS–NOW) (or on any successor websites or hotlines) a current and accurate list of all such den- tists and providers within each State that provide dental services to children enrolled in the State plan (or waiver) under Medicaid or the State child health plan (or waiver) under CHIP, and shall ensure that such list is updated at least quarterly; and ‘‘(2) work with States to include, not later than 6 months after the date of the enactment of this Act, a description of the dental services provided under each State plan (or waiver) under Medicaid and each State child health plan (or waiver) under CHIP on such Insure Kids Now website, and shall ensure that such list is updated at least annually.’’ DEADLINE FOR INITIAL APPOINTMENTS Pub. L. 111–3, title V, § 506(b), Feb. 4, 2009, 123 Stat. 95, provided that: ‘‘Not later than January 1, 2010, the Comptroller General of the United States shall appoint the initial members of the Medicaid and CHIP Payment and Access Commission established under section 1900 of the Social Security Act [42 U.S.C. 1396] (as added by subsection (a)).’’ ANNUAL REPORT Pub. L. 111–3, title V, § 506(c), Feb. 4, 2009, 123 Stat. 95, provided that: ‘‘Not later than January 1, 2010, and an- nually thereafter, the Secretary [of Health and Human Services], in consultation with the Secretary of the Treasury, the Secretary of Labor, and the States (as d

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1396-1

Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1396-1. This identifies an authority to review, not proof of applicability.

Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1396u-2 — Provisions relating to managed care

Page 4366 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1396u–2 (d) Waivers In the case of a waiver of a provision of part A of subchapter IV in effect with respect to a State as of July 16, 1996, or which is submitted to the Secretary before August 22, 1996, and ap- proved by the Secretary on or before July 1, 1997, if the waiver affects eligibility of individ- uals for medical assistance under this sub- chapter, such waiver may (but need not) con- tinue to be applied, at the option of the State, in relation to this subchapter after the date the waiver would otherwise expire. (e) State option to use 1 application form Nothing in this section, or part A of sub- chapter IV, shall be construed as preventing a State from providing for the same application form for assistance under a State program fund- ed under part A of subchapter IV (on or after the welfare reform effective date) and for medical assistance under this subchapter. (f) Additional rules of construction (1) With respect to the reference in section 1396a(a)(5) of this title to a State plan approved under part A of subchapter IV, a State may treat such reference as a reference either to a State program funded under such part (as in ef- fect on and after the welfare reform effective date) or to the State plan under this subchapter. (2) Any reference in section 1396a(a)(55) of this title to a State plan approved under part A of subchapter IV shall be deemed a reference to a State program funded under such part. (3) In applying section 1396b(f) of this title, the applicable income limitation otherwise deter- mined shall be subject to increase in the same manner as income or resource standards of a State may be increased under subsection (b)(2)(B). (g) Relation to other provisions The

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1396u-2

Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1396u-2. This identifies an authority to review, not proof of applicability.

Arkansas Code — all titles (historical 2020) · legal_authorities

25-15-202. Definitions.

25-15-202. Definitions. As used in this subchapter: (1)(A) “Adjudication” means an agency process for the formulation of an order. (B) “Adjudication” does not include inmate disciplinary proceedings conducted by the Division of Correction and the Division of Community Correction; (2)(A) “Agency” means a board, commission, department, officer, or other authority of the government of the State of Arkansas, whether within, or subject to review by, another agency, except the General Assembly, the courts, and the Governor. (B) The word “agency” shall include the Division of Child Care and Early Childhood Education and the Child Care Appeal Review Panel for purposes of administrative appeal. (C)(i) Except as provided in subdivision (2)(C)(ii) of this section, the word “agency” shall not include the Arkansas Public Service Commission, the Arkansas Pollution Control and Ecology Commission, the Workers' Compensation Commission, and the Division of Workforce Services, as the existing laws governing those agencies provide adequate administrative procedures for those agencies. (ii) The word “agency” as used in §§ 25-15-216 and 25-15-218 shall include the Arkansas Public Service Commission, the Arkansas Pollution Control and Ecology Commission, the Workers' Compensation Commission, and the Division of Workforce Services. (D) This subchapter does not repeal delegations of authority as provided by law; (3) “Financial impact statement” means a realistic statement of a new or increased cost or obligation of complying with a proposed rule to a: (A) Private individual, entity, and business; and (B) State, county, and municipal government; (4) “License” includes an agency permit, certificate, approval, registration, charter, or similar form of permission required b

Source: Arkansas Code — historical release 78 (November 6, 2020) · 25-15-202

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. The source passage cites 25-15-202. This identifies an authority to review, not proof of applicability.