AR HB1172

Expands the definition of "adverse action" under the Medicaid Fairness Act to include enforcement actions, removing the requirement that actions must have a monetary penalty attached to be appealable

Adds new definition of "enforcement action" as any action or decision by the Department of Human Services or its contractors that affects a Medicaid provider regarding rule enforcement

Requires providers receive at least 48 hours' notice before scheduled routine monitoring visits, with an exception for unannounced inspections investigating third-party complaints

Allows providers to file a reconsideration request challenging any violation in an enforcement action, with the enforcement entity required to rule within 30 calendar days or the violation is automatically vacated

Grants providers the right to administratively appeal violations if their reconsideration request is denied