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054.00.109-4. Reimbursement Requirements

AR ADC 054.00.109-4Arkansas Administrative CodeEffective: October 19, 2015

West's Arkansas Administrative Code
Title 054. Insurance Department
Division 00.
Rule 109. Orthotic and Prosthetic Reimbursement
Effective: October 19, 2015
Ark. Admin. Code 054.00.109-4
054.00.109-4. Reimbursement Requirements
Health benefit plans shall provide coverage for eligible charges for prosthetic and orthotic devices and services of no less than eighty-percent (80%) of CMS CPT allowable amounts for such devices and services, as established by CMS, as of January 1 of each year in which the health benefit plan is issued or renewed.

Credits

Adopted Oct. 19, 2015.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.109-4, AR ADC 054.00.109-4
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