{"data":{"id":"us-ar/ark.-code-ann.-23-99-1802","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 23-99-1802","heading":"Minimum allowable reimbursement for ground ambulance services","body":"(a) (1) The minimum allowable reimbursement rate under any health benefit plan issued by a healthcare insurer to a participating ground ambulance service provider or an out-of-network ground ambulance service provider shall be at the rates approved or contracted between an ambulance service provider and a local government entity as provided for in § 14-266-105 . (2) In the absence of rates set as provided under subdivision (a)(1) of this section, the minimum allowable rate of reimbursement under a health benefit plan issued by a healthcare insurer shall be the lesser of: (A) The rate established by the Workers' Compensation Commission under its medical fee schedule for ambulance services; or (B) The provider's billed charges. (b) A payment made under this section shall be considered payment in full for the covered services provided, except for any copayment, coinsurance, deductible, and other cost-sharing feature amounts required to be paid by the enrollee. (c) (1) A healthcare insurer shall remit payment within thirty (30) days for ambulance services directly to the ground ambulance service provider. (2) A healthcare insurer shall not send payment to an enrollee. Added by Act 2023, No. 597,§ 1, eff. 8/1/2023.\n\n(a) (1) The minimum allowable reimbursement rate under any health benefit plan issued by a healthcare insurer to a participating ground ambulance service provider or an out-of-network ground ambulance service provider shall be at the rates approved or contracted between an ambulance service provider and a local government entity as provided for in § 14-266-105 . (2) In the absence of rates set as provided under subdivision (a)(1) of this section, the minimum allowable rate of reimbursement under a health benefit plan issued by a healthcare insurer shall be the lesser of: (A) The rate established by the Workers' Compensation Commission under its medical fee schedule for ambulance services; or (B) The provider's billed charges.\n\n(1) The minimum allowable reimbursement rate under any health benefit plan issued by a healthcare insurer to a participating ground ambulance service provider or an out-of-network ground ambulance service provider shall be at the rates approved or contracted between an ambulance service provider and a local government entity as provided for in § 14-266-105 .\n\n(2) In the absence of rates set as provided under subdivision (a)(1) of this section, the minimum allowable rate of reimbursement under a health benefit plan issued by a healthcare insurer shall be the lesser of: (A) The rate established by the Workers' Compensation Commission under its medical fee schedule for ambulance services; or (B) The provider's billed charges.\n\n(A) The rate established by the Workers' Compensation Commission under its medical fee schedule for ambulance services; or\n\n(B) The provider's billed charges.\n\n(b) A payment made under this section shall be considered payment in full for the covered services provided, except for any copayment, coinsurance, deductible, and other cost-sharing feature amounts required to be paid by the enrollee.\n\n(c) (1) A healthcare insurer shall remit payment within thirty (30) days for ambulance services directly to the ground ambulance service provider. (2) A healthcare insurer shall not send payment to an enrollee.\n\n(1) A healthcare insurer shall remit payment within thirty (30) days for ambulance services directly to the ground ambulance service provider.\n\n(2) A healthcare insurer shall not send payment to an enrollee.","path":["AR Code","Title 23","Chapter 99","Subchapter 18"],"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":"15195c7780a0aa10352edf9ee659f512d93b6290466c6fe74c357fe781aceed8","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-23-99-1801","next":"us-ar/ark.-code-ann.-23-99-201"},"notice":"GroundRules: Original legal text. Not legal advice."}