Arkansas § 20-77-1707 Prior authorizations - Retrospective reviews

Arkansas Statutes

§ 20-77-1707 — Prior authorizations - Retrospective reviews

Arkansas § 20-77-1707

Title20

This text of Arkansas § 20-77-1707 (Prior authorizations - Retrospective reviews) is published on Counsel Stack Legal Research, covering Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ark. Code Ann. § 20-77-1707 (2026).

Text

If the Department of Human Services requires a provider to justify the medical necessity of a service through prior authorization, the department shall not later take the position that the services were not medically necessary, unless the retrospective review establishes that:

(1)The previous authorization was based upon misrepresentation by act or omission;

(2)The services billed were not provided; or (3) An unexpected change occurred that rendered the prior-authorized care not medically necessary.

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If the Department of Human Services requires a provider to justify the medical necessity of a service through prior authorization, the department shall not later take the position that the services were not medically necessary, unless the retrospective review establishes that: (1) The previous authorization was based upon misrepresentation by act or omission; (2) The services billed were not provided; or (3) An unexpected change occurred that rendered the prior-authorized care not medically necessary.