Healthcare professional notification/disqualification
Arkansas Code § 20-76-201; Arkansas Code § 25-10-129
(a) Notice of covered healthcare practitioners.
- (1) Within twenty (20) days of the effective date of this part, applicants/providers must notify the Office of Medicaid Inspector General of the names of covered healthcare practitioners who are providing outpatient behavioral health services.
- (2) On or before the tenth day of each month, providers must notify the office of the names of all covered healthcare practitioners who are providing outpatient behavioral health services and whose names were not previously disclosed.
- (b) Licensed healthcare professionals may not furnish outpatient behavioral health services during any time the professional’s license is subject to adverse license action.
(c) Applicants/providers may not employ/engage a covered healthcare practitioner after learning that the practitioner:
- (1) Is excluded from Medicare, Medicaid, or both;
- (2) Is debarred under Arkansas Code § 19-11-245;
- (3) Is excluded under Department of Human Services’ Participant Exclusion rule, 25 CAR pt. 30; or
(4)
- (A) Was subject to a final determination that the provider failed to comply with professionally recognized standards of care, conduct, or both.
- (B) For purposes of this subsection, “final determination” means a final court or administrative adjudication, or the result of an alternative dispute resolution process such as arbitration or mediation.