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054.00.70-5. Definitions

AR ADC 054.00.70-5Arkansas Administrative Code

West's Arkansas Administrative Code
Title 054. Insurance Department
Division 00.
Rule 70. Diabetes Self-Management Act of 1997
Ark. Admin. Code 054.00.70-5
054.00.70-5. Definitions
Currentness
As used in this Rule:
COMMISSIONER means the Arkansas Insurance Commissioner.
DEPARTMENT means the Arkansas Insurance Department.
DIABETES means and shall include Type 1, Type 2, or Gestational Diabetes, Diabetes Insipidus, and other specific types, and means diabetes mellitus, a common chronic, serious systemic disorder of energy metabolism which includes a heterogeneous group of metabolic disorders which can be characterized by an elevated blood glucose level. The terms diabetes and diabetes mellitus are considered synonymous and defined to include persons using insulin, persons not using insulin, individuals with elevated blood glucose levels induced by pregnancy, or persons with other medical conditions or medical therapies which wholly or partially consist of elevated blood glucose levels.
DIABETES EDUCATOR or HEALTH CARE PROVIDER means only an individual, licensed by one of the following Arkansas State Boards, who has completed such Arkansas State Board's educational program that is in compliance with the National Standards for Diabetes Self-Management Educational Programs as developed by the American Diabetes Association, and only those duly certified to instruct in diabetes self-management, including but not limited to:
1. The Arkansas State Medical Board;
2. The Arkansas Board of Podiatric Medicine;
3. The Arkansas State Board of Optometry;
4. The Arkansas State Board of Pharmacy;
5. The Arkansas State Board of Nursing;
6. The Arkansas State Board of Physical Therapy;
7. The Arkansas Dietetics Licensing Board; and
8. Other Arkansas State licensing agencies, boards or commissions for medical professionals.
DIABETES SELF-MANAGEMENT TRAINING means instruction in an inpatient or outpatient setting, including medical nutrition therapy, relating to diet, caloric intake and diabetes management but excluding programs the primary purposes of which are weight reduction. The training is to enable diabetic patients to understand the diabetic management process and daily management of diabetic therapy as a method of avoiding frequent hospitalizations and complications when the instruction is provided in accordance with a program in compliance with the National Standards for Diabetes Self-Management Education Program developed by the American Diabetes Association.
HEALTH CARE INSURER under A.C.A. § 23-79-601 means any insurance company, fraternal benefit society, hospital and/or medical services corporation, or health maintenance organization issuing or delivering a health (disability) insurance policy subject to the Arkansas Insurance Code, codified as Ark. Code Ann. §§ 23-60-101, et seq., or its successor laws; and in particular, the provisions of Ark. Code Ann. §§ 23-74-101, et seq., as to fraternal benefit societies; and provisions of Ark. Code Ann. §§ 23-75-101, et seq., as to hospital or medical service corporations; and the provisions of Ark. Code Ann. § 23-76-101, et seq. as to health maintenance organizations.
HEALTH INSURANCE POLICY means a group or individual disability insurance policy, contract or plan which provides medical coverage on an expense-incurred, service, or prepaid risk-sharing basis issued by authorized stock and mutual insurers, authorized fraternal benefit societies, authorized hospital or medical service corporations, and authorized health maintenance organizations.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.70-5, AR ADC 054.00.70-5
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