Bill > HB1172

This bill modifies the Medicaid Fairness Act to expand the definition of "adverse action" and create new protections for Medicaid providers during enforcement actions. The bill adds a definition for "enforcement action" as any department decision that affects a Medicaid provider regarding rule enforcement, and clarifies that an adverse decision does not necessarily require a direct monetary penalty. The bill introduces new procedural requirements for enforcement actions, including mandating that providers receive at least 48 hours' notice for routine monitoring visits (except for complaint-based investigations), allowing providers to challenge violations through a reconsideration request, and requiring the enforcement entity to respond to such requests within 30 calendar days. If the enforcement entity does not rule on a reconsideration request within the specified timeframe, the violation is automatically vacated. Additionally, if a provider's reconsideration request is not approved, they retain the right to file an administrative appeal. These changes aim to provide Medicaid providers with more transparency, due process, and opportunities to contest enforcement actions.

Health and Social Services

https://arkleg.state.ar.us/Bills/Detail?id=hb1172&ddBienniumSession=2025%2F2025R