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AR SB257

Bill

Status

Passed

4/10/2025

Primary Sponsor

Clint Penzo

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Origin

Senate

95th General Assembly (2025 Regular)

AI Summary

  • Extends the appeal period for Medicaid providers from 35 days to 65 days to challenge adverse decisions through administrative reconsideration or appeal processes

  • Requires all notices of adverse decisions to include a clear and detailed explanation of the rationale plus citations to all specific protocols, procedures, or policy manual references relied upon

  • Mandates the Department of Human Services publish and maintain on its website all protocols, procedures, and requirements used in making adverse decisions, including current versions, archived prior versions, and effective dates

  • Prohibits DHS from using or enforcing any policy, protocol, or requirement that is not publicly disclosed and accessible to providers; undisclosed policies are deemed invalid for adverse decisions

  • Applies all requirements to third-party vendors contracted to administer Medicaid appeals and requires DHS to conduct periodic compliance audits with annual publication of findings

Legislative Description

To Amend The Medicaid Fairness Act; To Extend The Appeal Period For Providers In The Arkansas Medicaid Program; And To Require Comprehensive Information In Notices Of Adverse Decisions.

Last Action

Notification that SB257 is now Act 515

4/10/2025

Committee Referrals

Insurance & Commerce4/2/2025
Public Health, Welfare and Labor2/26/2025
Insurance & Commerce2/19/2025

Full Bill Text

No bill text available