23 CAR § 138-103. Definitions

The following definitions shall apply in this part, unless otherwise defined by HCIP: (1) "ADHS" means the Department of Human Services; (2) "AID" means the State Insurance Department; (3) "APII" means the Arkansas Payment Improvement Initiative, as referenced in Arkansas Code § 20-77-2406(d) [repealed], which is a multi-payer program that connects medical payment to medical providers to achieve high quality care at an appropriate cost; (4) "Arkansas PCMH Model" means the provisions in Section 200 of the Arkansas Medicaid Patient-Centered Medical Home Provider Manual, 20 CAR pt. 633; (5) "DMS" means the Division of Medical Services of the Department of Human Services; (6) "HCIP" means the program established under Acts 2013, No. 1498, by the General Assembly known as the Health Care Independence Act of 2013, Arkansas Code § 20-77-2401 et seq. [repealed]; (7) "Health carrier" means a private entity certified by the State Insurance Department and offering plans through the Health Insurance Marketplace; (8) "Health Insurance Marketplace" means the marketplace as defined by Arkansas Code § 20-77-2404(5) [repealed]; (9) "Healthcare coverage" shall mean healthcare benefits as defined under Arkansas Code § 20-77-2404(4) [repealed]; (10) “Patient-centered medical home (PCMH)” means a "patient-centered medical home" as defined under Section 200 of the Arkansas Medicaid Patient-Centered Medical Home Provider Manual, 20 CAR pt. 633; (11) "Primary care physician" means a "primary care physician" as defined under Section 171 of the Arkansas Medicaid Patient-Centered Medical Home Provider Manual, 20 CAR pt. 633; (12) "QHP enrollee" means a person insured under a qualified health plan; and (13) "Qualified health plan" means a State Insurance Department-certified individual health insurance plan offered by a health carrier through the Health Insurance Marketplace.