The proposed bill aims to amend the Arkansas Medicaid Fairness Act by adding definitions and ensuring that all rule enforcement actions are appealable. Specifically, it introduces a new section, 20-77-1719, which defines "enforcement action" as directives to submit corrective action plans or citations for violations without direct monetary consequences. The bill allows certified Medicaid providers to challenge these enforcement actions by filing a reconsideration request, which the Division of Provider Services and Quality Assurance must address within sixty calendar days.

Additionally, the bill stipulates that if the division fails to meet the specified timelines for reconsideration, any adverse decision based on the enforcement action cannot be enforced against the Medicaid provider unless the division demonstrates good cause for the delay. Good cause may include referrals to the Office of Medicaid Inspector General or the Medicaid Fraud Control Unit for investigation. This legislation aims to enhance the fairness and accountability of the Medicaid enforcement process in Arkansas.

Statutes affected:
Old version HB1554 Original - 3-6-2023 01:40 PM: 20-77-1702(2), 20-77-1702