AR HB1554

Adds new section 20-77-1719 to Arkansas Code defining "enforcement action" as directives to submit corrective action plans or citations/findings of violations without direct monetary consequences to the provider.

Allows certified Medicaid providers to challenge enforcement actions by filing a reconsideration request explaining why the violation is incorrect.

Requires the Division of Provider Services and Quality Assurance to issue an administrative reconsideration determination within 60 calendar days of receiving a challenge request.

Specifies that administrative reconsideration determinations are not orders under the Arkansas Administrative Procedure Act, limiting appeal rights.

Prohibits enforcement of adverse decisions if the division fails to meet the 60-day timeline unless the division demonstrates good cause, including referral to the Office of Medicaid Inspector General or Medicaid Fraud Control Unit.