The proposed legislation, titled the "Medicaid Provider-Led Care Transparency and Accountability Act," aims to enhance the quality and effectiveness of care provided by risk-based provider organizations in Arkansas. It establishes a new subchapter in the Arkansas Code, which includes the formation of a workgroup by the Department of Human Services to develop standards for these organizations. The bill outlines various provisions, including requirements for care coordination, prohibitions against gag clauses that restrict providers from advocating publicly, and mandates for quality initiatives that focus on individuals with intellectual and developmental disabilities. Additionally, it emphasizes the need for transparency in financial reporting and establishes a framework for legislative oversight of the Medicaid Provider-Led Organized Care Act.

Key provisions of the bill include the requirement for risk-based provider organizations to pay direct service providers for care coordination, the standardization of credentialing processes, and the establishment of secure online portals for audit submissions. The legislation also allows for the use of assistive technology in service delivery and mandates that organizations file annual financial statements with the Department of Human Services. Furthermore, it grants enrollees and direct service providers the right to seek equitable relief in court against the Department or the organizations, ensuring accountability and legal recourse. The act is set to be implemented in phases, with specific requirements beginning on January 1, 2026.