AR HB1943

Risk-based provider organizations must establish an online quality rating system measuring days to initial home/community-based service delivery, care coordinator caseload ratios, member satisfaction surveys, 7-day follow-up rates after emergency department visits, well-care visit rates for members ages 3-21, and complaint/grievance incidence

Provider directories must offer real-time online access through Department of Human Services and organization websites, with updates required within 10 business days when a provider's network status changes

Department of Human Services must maintain a dedicated beneficiary support system meeting federal requirements (42 C.F.R. § 438.71) to assist with open enrollment, choice counseling, provider network information, and quality rating guidance

An ombudsman is authorized to help enrollees informally resolve disputes with risk-based provider organizations

Effective date is January 1, 2026, with the Department of Human Services authorized to promulgate implementing rules