23 CAR § 138-102

23 CAR § 138-102. Applicability and scope

Length: 139 wordsOfficial source
(a) This part applies to all health carriers issuing QHPs in the Health Insurance Marketplace on or after January 1, 2015. (b) Under Arkansas Code § 20-77-2406(d) [repealed], health carriers participating in the Health Insurance Marketplace are required to participate in the Arkansas Payment Improvement Initiative (APII), including: (1) Assignment of primary care clinician; (2) Support for patient-centered medical home; and (3) Access of clinical performance data for providers. (c)(1) The HCIP requires health carriers to participate in the APII as multi-payer participants. (2) This part requires health carriers to participate in PCMH standards as one (1) active or available option in QHP networks on or after January 1, 2015. (3) Additionally, these standards set a floor for participation and do not preclude health carriers from developing and implementing standards that exceed the requirements set forth in this part.
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