AR SB348

Health insurers and third parties must accept Medicaid's right of recovery and assignment of payment rights for items or services for which Medicaid has made payment.

Health insurers and third parties cannot deny claims based on failure to present proper documentation of coverage at the point of sale.

Health insurers and third parties cannot deny claims based on submission date if the claim is submitted within three years from the date the item or service was furnished.

Health insurers and third parties cannot deny claims based on lack of prior authorization if the Department of Human Services authorized the item or service.

Health insurers and third parties must respond to any inquiry regarding claims within 60 business days after receipt of written documentation from the Medicaid recipient.