AR HB1288

Healthcare insurers must treat an applicant physician as a participating (in-network) provider retroactively from the date they submitted a substantially completed credentialing application, once the physician is approved through credentialing

"Date of submission of a substantially completed application" is defined as when the insurer receives the physician's credentialing information from the Centralized Credentials Verification Service of the Arkansas State Medical Board

Insurers must make retroactive payments to providers for services rendered during the credentialing period at in-network rates

The Arkansas Medicaid Program is explicitly exempted from these retroactive payment requirements

Approved April 3, 2025 as Act 423 of the Regular Session