Ark. Code Ann. § 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 program that are issued by the Centers for Medicare & 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. Added by Act 2017, No. 605,§ 3, eff. 8/1/2017.

(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

. § 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.

(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 program that are issued by the Centers for Medicare & 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.

(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.