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054.00.114-2. Definitions

AR ADC 054.00.114-2Arkansas Administrative CodeEffective: August 6, 2016

West's Arkansas Administrative Code
Title 054. Insurance Department
Division 00.
Rule 114. Prior Authorizations for Pain Medications for Terminal Illnesses
Effective: August 6, 2016
Ark. Admin. Code 054.00.114-2
054.00.114-2. Definitions
(1) “Covered person” means a “covered person” as defined in Ark. Code Ann. § 23-99-403(3);
(2) “Health benefit plan” means a “health benefit plan” as defined in Ark. Code Ann. § 23-99-1103(7);
(3) “Healthcare insurer” means a “healthcare insurer” as defined in Ark. Code Ann. § 23-99-1103(8);
(4) “Prescription pain medication” means any medication prescribed as treatment for pain;
(5) “Prior Authorization” means “prior authorization” as defined in Ark Code Ann. § 23-99-1103(16).
(6) “Terminal illness” means an illness, a progressive disease, or an advanced disease state from which: (A) there is no expectation of recovery; and (B) death as a result of the illness or disease is reasonably expected within six (6) months; and
(7) “Utilization review entity” means a “utilization review entity” as defined in Ark. Code Ann. § 23-99-1103(21);

Credits

Adopted Aug. 6, 2016.
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.114-2, AR ADC 054.00.114-2
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