As used in this subchapter: (1) "Enrollee" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (2) (A) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state. (B) "Health benefit plan" includes: (i) Indemnity and managed care plans; and (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq. (C) "Health benefit plan" does not include: (i) A plan that provides only dental benefits or eye and vision care benefits; (ii) A disability income plan; (iii) A credit insurance plan; (iv) Insurance coverage issued as a supplement to liability insurance; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan; (3) (A) "Healthcare payor" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (B) "Healthcare payor" does not include an entity that provides only dental benefits or eye and vision care benefits; (4) "Healthcare provider" means individuals or entities licensed by the State of Arkansas to provide healthcare services, limited to the following: (A) Advanced practice nurses; (B) Athletic trainers; (C) Audiologists; (D) Certified behavioral health providers; (E) Certified orthotists; (F) Chiropractors; (G) Community mental health centers or clinics; (H) Dentists; (I) Home health care; (J) Hospice care; (K) Hospital-based services; (L) Hospitals; (M) Licensed ambulatory surgery centers; (N) Licensed certified social workers; (O) Licensed dieticians; (P) Licensed intellectual and developmental disabilities service providers; (Q) Licensed professional counselors; (R) Licensed psychological examiners; (S) Long-term care facilities; (T) Occupational therapists; (U) Optometrists; (V) Pharmacists; (W) Physical therapists; (X) Physicians and surgeons (M.D. and D.O.); (Y) Podiatrists; (Z) Prosthetists; (AA) Psychologists; (BB) Respiratory therapists; (CC) Rural health clinics; and (DD) Speech pathologists; (5) "Healthcare services" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; and (6) "Prescription medication" means a drug or biologic that is prescribed by a healthcare provider to a patient for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability. Added by Act 2021, No. 1105,§ 1, eff. 7/28/2021. As used in this subchapter: (1) "Enrollee" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (2) (A) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state. (B) "Health benefit plan" includes: (i) Indemnity and managed care plans; and (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq. (C) "Health benefit plan" does not include: (i) A plan that provides only dental benefits or eye and vision care benefits; (ii) A disability income plan; (iii) A credit insurance plan; (iv) Insurance coverage issued as a supplement to liability insurance; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan; (3) (A) "Healthcare payor" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (B) "Healthcare payor" does not include an entity that provides only dental benefits or eye and vision care benefits; (4) "Healthcare provider" means individuals or entities licensed by the State of Arkansas to provide healthcare services, limited to the following: (A) Advanced practice nurses; (B) Athletic trainers; (C) Audiologists; (D) Certified behavioral health providers; (E) Certified orthotists; (F) Chiropractors; (G) Community mental health centers or clinics; (H) Dentists; (I) Home health care; (J) Hospice care; (K) Hospital-based services; (L) Hospitals; (M) Licensed ambulatory surgery centers; (N) Licensed certified social workers; (O) Licensed dieticians; (P) Licensed intellectual and developmental disabilities service providers; (Q) Licensed professional counselors; (R) Licensed psychological examiners; (S) Long-term care facilities; (T) Occupational therapists; (U) Optometrists; (V) Pharmacists; (W) Physical therapists; (X) Physicians and surgeons (M.D. and D.O.); (Y) Podiatrists; (Z) Prosthetists; (AA) Psychologists; (BB) Respiratory therapists; (CC) Rural health clinics; and (DD) Speech pathologists; (5) "Healthcare services" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; and (6) "Prescription medication" means a drug or biologic that is prescribed by a healthcare provider to a patient for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability. Added by Act 2021, No. 1105,§ 1, eff. 7/28/2021. As used in this subchapter: (1) "Enrollee" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (2) (A) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state. (B) "Health benefit plan" includes: (i) Indemnity and managed care plans; and (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq. (C) "Health benefit plan" does not include: (i) A plan that provides only dental benefits or eye and vision care benefits; (ii) A disability income plan; (iii) A credit insurance plan; (iv) Insurance coverage issued as a supplement to liability insurance; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan; (3) (A) "Healthcare payor" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (B) "Healthcare payor" does not include an entity that provides only dental benefits or eye and vision care benefits; (4) "Healthcare provider" means individuals or entities licensed by the State of Arkansas to provide healthcare services, limited to the following: (A) Advanced practice nurses; (B) Athletic trainers; (C) Audiologists; (D) Certified behavioral health providers; (E) Certified orthotists; (F) Chiropractors; (G) Community mental health centers or clinics; (H) Dentists; (I) Home health care; (J) Hospice care; (K) Hospital-based services; (L) Hospitals; (M) Licensed ambulatory surgery centers; (N) Licensed certified social workers; (O) Licensed dieticians; (P) Licensed intellectual and developmental disabilities service providers; (Q) Licensed professional counselors; (R) Licensed psychological examiners; (S) Long-term care facilities; (T) Occupational therapists; (U) Optometrists; (V) Pharmacists; (W) Physical therapists; (X) Physicians and surgeons (M.D. and D.O.); (Y) Podiatrists; (Z) Prosthetists; (AA) Psychologists; (BB) Respiratory therapists; (CC) Rural health clinics; and (DD) Speech pathologists; (5) "Healthcare services" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; and (6) "Prescription medication" means a drug or biologic that is prescribed by a healthcare provider to a patient for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability. Added by Act 2021, No. 1105,§ 1, eff. 7/28/2021. As used in this subchapter: (1) "Enrollee" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (2) (A) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state. (B) "Health benefit plan" includes: (i) Indemnity and managed care plans; and (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq. (C) "Health benefit plan" does not include: (i) A plan that provides only dental benefits or eye and vision care benefits; (ii) A disability income plan; (iii) A credit insurance plan; (iv) Insurance coverage issued as a supplement to liability insurance; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan; (A) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state. (B) "Health benefit plan" includes: (i) Indemnity and managed care plans; and (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq. (i) Indemnity and managed care plans; and (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq. (C) "Health benefit plan" does not include: (i) A plan that provides only dental benefits or eye and vision care benefits; (ii) A disability income plan; (iii) A credit insurance plan; (iv) Insurance coverage issued as a supplement to liability insurance; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan; (i) A plan that provides only dental benefits or eye and vision care benefits; (ii) A disability income plan; (iii) A credit insurance plan; (iv) Insurance coverage issued as a supplement to liability insurance; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan; (3) (A) "Healthcare payor" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (B) "Healthcare payor" does not include an entity that provides only dental benefits or eye and vision care benefits; (A) "Healthcare payor" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (B) "Healthcare payor" does not include an entity that provides only dental benefits or eye and vision care benefits; (4) "Healthcare provider" means individuals or entities licensed by the State of Arkansas to provide healthcare services, limited to the following: (A) Advanced practice nurses; (B) Athletic trainers; (C) Audiologists; (D) Certified behavioral health providers; (E) Certified orthotists; (F) Chiropractors; (G) Community mental health centers or clinics; (H) Dentists; (I) Home health care; (J) Hospice care; (K) Hospital-based services; (L) Hospitals; (M) Licensed ambulatory surgery centers; (N) Licensed certified social workers; (O) Licensed dieticians; (P) Licensed intellectual and developmental disabilities service providers; (Q) Licensed professional counselors; (R) Licensed psychological examiners; (S) Long-term care facilities; (T) Occupational therapists; (U) Optometrists; (V) Pharmacists; (W) Physical therapists; (X) Physicians and surgeons (M.D. and D.O.); (Y) Podiatrists; (Z) Prosthetists; (AA) Psychologists; (BB) Respiratory therapists; (CC) Rural health clinics; and (DD) Speech pathologists; (A) Advanced practice nurses; (B) Athletic trainers; (C) Audiologists; (D) Certified behavioral health providers; (E) Certified orthotists; (F) Chiropractors; (G) Community mental health centers or clinics; (H) Dentists; (I) Home health care; (J) Hospice care; (K) Hospital-based services; (L) Hospitals; (M) Licensed ambulatory surgery centers; (N) Licensed certified social workers; (O) Licensed dieticians; (P) Licensed intellectual and developmental disabilities service providers; (Q) Licensed professional counselors; (R) Licensed psychological examiners; (S) Long-term care facilities; (T) Occupational therapists; (U) Optometrists; (V) Pharmacists; (W) Physical therapists; (X) Physicians and surgeons (M.D. and D.O.); (Y) Podiatrists; (Z) Prosthetists; (AA) Psychologists; (BB) Respiratory therapists; (CC) Rural health clinics; and (DD) Speech pathologists; (5) "Healthcare services" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; and (6) "Prescription medication" means a drug or biologic that is prescribed by a healthcare provider to a patient for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability.
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