23 CAR § 139-101. Purpose

(a) The purpose of this part is to require health benefit plans that are subject to Arkansas Code § 23-99-417 to update coverage for eligible charges for prosthetic and orthotic devices and services to no less than eighty percent (80%) of the Medicare allowable rates for such devices and services as of January 1 of each year in which the health benefit plan is issued or renewed. (b) The current statutory requirement in Arkansas Code § 23-99-417(a)(1) ties the coverage requirements for such devices and services to January 1, 2009, Centers for Medicare & Medicaid Services Medicare coverage amounts under its Healthcare Common Procedure Coding System (CPT). (c) The Insurance Commissioner intends in this part to establish the requirement that such coverage at least equal eighty percent (80%) of Centers for Medicare & Medicaid Services CPT allowable amounts as established by Centers for Medicare & Medicaid Services as of January 1 of each year in which the health benefit plan is issued or renewed, rather than promulgating an amendment to this part each year to require the adjustment.