{"data":{"id":"us-ar/ark.-code-ann.-25-15-502","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 25-15-502","heading":"Definition","body":"(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 \u0026 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.\n\n(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\n. § 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.\n\n(1) Reduce the number of individuals covered by the Arkansas Medicaid Program;\n\n(2) Limit the types of services covered by the program;\n\n(3) Reduce the utilization of services covered by the program;\n\n(4) Reduce provider reimbursement;\n\n(5) Increase consumer cost sharing;\n\n(6) Reduce the cost of administering the program;\n\n(7) Increase the program revenues;\n\n(8) Reduce fraud and abuse in the program;\n\n(9) Change any of the methodologies used for reimbursement of providers;\n\n(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;\n\n(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;\n\n(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;\n\n(13) Implement managed care provisions under Section 1932 of the Social Security Act, 42 U.S.C. § 1396u-2 ; or\n\n(14) Participate or seek to participate in the projects or programs of the Center for Medicare and Medicaid Innovation.\n\n(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 \u0026 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.\n\n(1) Current Procedural Terminology codes;\n\n(2) Healthcare Common Procedure Coding System codes;\n\n(3) International Classification of Diseases codes;\n\n(4) National Uniform Billing Committee Official UB-04 Data Specifications Manual codes; and\n\n(5) National Correct Coding Initiative codes.","path":["AR Code","Title 25","Chapter 15","Subchapter 5"],"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":"d6c60aab0fa005650dc11d6911200f27ae1d1b0b495d6b2c03f99455ed1f6f79","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-25-15-501","next":"us-ar/ark.-code-ann.-25-15-503"},"notice":"GroundRules: Original legal text. Not legal advice."}