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 ensure that reimbursement rates are determined through mutual agreement between the risk-based provider organization and direct service providers, with the stipulation that these rates must not fall below 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 new section that mandates a rate study to be completed by October 1, 2025, which will determine the minimum reimbursement rates for home- and community-based services. This study will cover specific services and is required to 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 exceeding 10%, the department may implement the increase over two years, subject to state appropriations. The bill aims to ensure that reimbursement rates are adequate and aligned with actual costs, thereby enhancing the sustainability of home- and community-based services in Arkansas.

Statutes affected:
HB 1942: 20-77-2706(d), 20-77-2706(e)
Act 1023: 20-77-2706(d), 20-77-2706(e)