The bill amends the Arkansas Health Care Consumer Act to require healthcare insurers to make retroactive payments to providers upon their credentialing. Specifically, it stipulates that once an applicant physician's credentialing application is substantially completed and approved, the insurer must treat the physician as a participating provider from the date the application is submitted. This change aims to ensure that healthcare providers receive timely payments for services rendered during the credentialing process.

Additionally, the bill clarifies that the new payment provisions do not apply to the Arkansas Medicaid Program. The amendments include the definition of "date of submission of a substantially completed application" and specify that the insurer must receive the credentialing information from the Centralized Credentials Verification Service of the Arkansas State Medical Board. These changes are intended to enhance the efficiency of the credentialing process and improve financial outcomes for healthcare providers.

Statutes affected:
Old version HB1288 V2 - 2-10-2025 09:52 AM: 23-99-411(a)
Old version HB1288 V3 - 2-13-2025 10:28 AM: 23-99-411(a)
Old version HB1288 V4 - 2-20-2025 12:04 PM: 23-99-411(a)
Old version HB1288 V5 - 2-27-2025 10:39 AM: 23-99-411(a)
Old version HB1288 V6 - 3-19-2025 02:23 PM: 23-99-411(a)
Old version HB1288 Original - 1-28-2025 05:03 PM: 23-99-411(a)
HB 1288: 23-99-411(a)
Act 423: 23-99-411(a)