This bill amends the Arkansas Code to establish specific reimbursement rates for home- and community-based services provided by risk-based provider organizations under the Medicaid Provider-Led Organized Care Act. It modifies existing provisions to allow reimbursement rates to be determined by mutual agreement between the risk-based provider organization and direct service providers, provided that these rates are not less than the minimum rates established under a new section, 20-77-2709. The bill also emphasizes the need for efficiency, economy, quality, and equal access to services for both Medicaid beneficiaries and non-Medicaid individuals.

Additionally, the bill introduces a requirement for a rate study to be completed by October 1, 2025, which will determine the minimum reimbursement rates for home- and community-based services. The study will cover specific services and must accurately reflect provider costs while promoting quality care and access. The Department of Human Services is tasked with developing the cost factors for this study, and if the study results in a rate increase of more than 10%, the department may phase in the increase over two years, subject to state appropriations. The bill aims to ensure that reimbursement rates remain adequate and aligned with actual costs through regular reviews.

Statutes affected:
SB 543: 20-77-2706(d), 20-77-2706(e)