Bill > SB542

This bill amends the Medicaid Provider-led Organized Care Act to enhance transparency and support for Medicaid beneficiaries by introducing several key provisions. First, it mandates a comprehensive online quality rating system for risk-based provider organizations (RBPOs), which will include ratings based on multiple performance measures such as service delivery timelines, care coordinator caseload ratios, member satisfaction surveys, follow-up care rates, and complaint incidences. The bill requires these ratings to be prominently displayed on the Department of Human Services website. Additionally, the legislation requires RBPOs to provide real-time, up-to-date provider network directories that can be easily accessed online, with quick updates when providers change network status. The bill also establishes a dedicated beneficiary support system within the Department of Human Services, which will be staffed to help enrollees navigate plan selection, understand quality ratings, access information about provider networks, and receive assistance in resolving issues with RBPOs. The new requirements aim to empower Medicaid beneficiaries with more information and support when choosing and using their healthcare plans, with an effective date of January 1, 2026.

Health and Social Services

https://arkleg.state.ar.us/Bills/Detail?id=sb542&ddBienniumSession=2025%2F2025R