{"data":{"id":"us-ar/ark.-code-ann.-20-9-909","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 20-9-909","heading":"Information required with application","body":"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. Acts 1989, No. 537, § 6.\n\nIn conjunction with the application, the private review agent shall submit information that the State Board of Health requires, including:\n\n(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;\n\n(A) A description of review standards and procedures to be used in evaluating proposed or delivered hospital and medical care; and\n\n(B) The provisions by which patients, physicians, or hospitals may seek reconsideration or appeal of adverse decisions by the private review agent;\n\n(2) The type and qualifications of the personnel either employed or under contract to perform the utilization review;\n\n(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;\n\n(4) The policies and procedures to ensure that all applicable state and federal laws to protect the confidentiality of individual medical records are followed;\n\n(5) A copy of the materials designed to inform applicable patients and providers of the requirements of the utilization review plan; and\n\n(6) A list of the third party payors for which the private review agent is performing utilization review in this state.","path":["AR Code","Title 20","Chapter 9","Subchapter 9"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_ar_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:41Z","sha256":"26603354f333df65074b829c8beeebc0c58c46d5a9fed78fd44fce811b916a7c","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-20-9-908","next":"us-ar/ark.-code-ann.-20-9-910"},"notice":"GroundRules: Original legal text. Not legal advice."}