reglab/housing_qa huggingface dataset:
AR Code § 20-77-2602 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 26 - Arkansas Lay Caregiver Act|§ 20-77-2602. Definitions

 As used in this subchapter:   (1) “Aftercare” means assistance that:  (A) Is provided by a caregiver to a patient after the discharge of the eligible patient from a hospital;  (B) Is related to the condition of the patient at the time of discharge; and  (C) Does not require a professional license under Arkansas Code Title 17, Subtitle 3, or specialized training under § 20-77-2301 et seq. in order to perform the assistance;    (2) “Caregiver” means an individual who:  (A) Is eighteen (18) years of age or older;  (B) Provides aftercare to an individual; and  (C) Is identified by the patient or, if applicable, the legal guardian of the patient as a person who is involved with the health care of the patient under 45 C.F.R. § 164.510(b), as it existed on January 1, 2015;    (3) “Compensation” means money or another type of property of value received by an individual in exchange for the assistance or services without regard to the source of payment of the money or other type of property;  (4) “Discharge” means the release of a patient from hospital care to the residence of the patient following an inpatient admission;  (5) “Hospital” means a facility that is licensed by the Division of Health Facility Services under § 20-9-213 as either a surgery and general medical care hospital or a general hospital;  (6) “Legal guardian” means an individual who is appointed by the court to make decisions about the health or medical care of a patient;  (7) “Patient” means an individual who has been admitted to a hospital for inpatient care and who is eighteen (18) years of age or older; and  (8) “Residence” means the dwelling that the patient considers to be the home of the patient, but does not include any rehabilitative facility, hospital, nursing home, assisted living facility, group home, or other healthcare facility licensed by the Division of Health Facility Services or the Office of Long-Term Care.
AR Code § 20-77-2603 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 26 - Arkansas Lay Caregiver Act|§ 20-77-2603. Designation of caregiver

 (a)  (1) A hospital shall provide each patient or, if applicable, the patient's legal guardian, with an opportunity to designate a caregiver following the patient's admission into a hospital and before the discharge of the patient to the residence of the patient.  (2) Before discharge, a patient may elect to change the patient's designated caregiver in the event that the original designated caregiver becomes unavailable, unwilling, or unable to care for the patient.    (b) Designation of an individual as a caregiver pursuant to this section does not obligate that individual to accept the role of caregiver for the patient.  (c) This section does not require a patient to designate a caregiver.  (d) The hospital shall be deemed to have complied in full with the requirements of this subchapter in the event that the patient or, if applicable, the legal guardian of the patient:  (1) Declines to designate a caregiver under this section; or  (2) Objects to the disclosure of medical information concerning the patient to the caregiver.
AR Code § 20-77-2604 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 26 - Arkansas Lay Caregiver Act|§ 20-77-2604. Compensation to caregiver

 (a) A caregiver designated under this subchapter shall not accept compensation in exchange for aftercare provided to the patient.  (b) This subchapter does not prevent an individual who is a licensed medical professional under Arkansas Code Title 17, Subtitle 3, or has completed training as a trained in-home assistant under § 20-77-2301 et seq. from serving as a caregiver under this subchapter so long as the individual does not accept compensation in exchange for aftercare provided to the patient.
AR Code § 20-77-2605 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 26 - Arkansas Lay Caregiver Act|§ 20-77-2605. Notification to caregiver

 (a) If a patient has designated a caregiver, the hospital shall notify the designated caregiver of the patient concerning the discharge or transfer of the patient to another licensed facility as soon as possible before discharge or transfer.  (b) In the event that the hospital is unable to contact the designated caregiver, the lack of contact shall not interfere with, delay, or otherwise affect the medical care provided to the patient or an appropriate discharge of the patient.
AR Code § 20-77-2606 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 26 - Arkansas Lay Caregiver Act|§ 20-77-2606. Consultation with caregiver — Discharge plan

 (a)  (1) As soon as practicable before the discharge of the patient, the hospital shall attempt to consult with the designated caregiver to prepare the caregiver to provide for the aftercare needs of the patient.  (2) As part of the consultation under subdivision (a)(1) of this section, the hospital shall provide the designated caregiver the opportunity to ask questions and receive answers about the aftercare needs of the patient.    (b)  (1) At or before discharge, the hospital shall provide the caregiver with the discharge plan of the patient that describes any aftercare needs of the patient.  (2) The hospital will educate the caregiver concerning the aftercare of the patient in a manner that is consistent with current accepted practices and is based on the learning needs of the caregiver.    (c) In the event that the hospital is unable to contact the designated caregiver, the lack of contact shall not interfere with, delay, or otherwise affect an appropriate discharge of the patient.
AR Code § 20-77-2607 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 26 - Arkansas Lay Caregiver Act|§ 20-77-2607. Construction — Immunity

 (a) This subchapter shall not:  (1) Confer upon the caregiver any authority to make healthcare decisions on behalf of the patient;  (2) Create a private right of action against a hospital, hospital employee, or duly authorized agent of the hospital; or  (3) Remove the obligation of a third-party payer to cover a healthcare item or service that the third-party payer is obligated to provide to a patient under the terms of a valid agreement, insurance policy, plan, or certification of coverage or health maintenance organization contract.    (b) A hospital, hospital employee, contractor leaving a contractual relationship with a hospital, or duly authorized agent of a hospital shall not be held liable in any way for an act or omission of the caregiver.
AR Code § 20-77-2701 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 27 - Medicaid Provider-Led Organized Care Act|§ 20-77-2701. Title

 This subchapter shall be known and may be cited as the “Medicaid Provider-Led Organized Care Act”.
AR Code § 20-77-2702 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 27 - Medicaid Provider-Led Organized Care Act|§ 20-77-2702. Legislative intent and purpose

 (a) As the single state agency for administration of the medical assistance programs established under Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq., and Title XXI of the Social Security Act, 42 U.S.C. § 1397aa et seq., the Department of Human Services is authorized by federal law to utilize one (1) or more organizations for providing healthcare services to Medicaid beneficiary populations.  (b) The purpose of this subchapter is to establish a Medicaid provider-led organized care system that administers and delivers healthcare services for a member of an enrollable Medicaid beneficiary population in return for payment.  (c) It is the intent of the General Assembly that the Medicaid provider-led organized care system created by the department shall:  (1) Improve the experience of health care, including without limitation quality of care, access to care, and reliability of care, for enrollable Medicaid beneficiary populations;  (2) Enhance the performance of the broader healthcare system leading to improved overall population health;  (3) Slow or reverse spending growth for enrollable Medicaid beneficiary populations and for covered services while maintaining quality of care and access to care;  (4) Further the objectives of Arkansas payment reforms and the state's ongoing commitment to innovation;  (5) Discourage excessive use of services;  (6) Reduce waste, fraud, and abuse;  (7) Encourage the most efficient use of taxpayer funds; and  (8) Operate under federal guidelines for patient rights.
AR Code § 20-77-2704 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 27 - Medicaid Provider-Led Organized Care Act|§ 20-77-2704. Licensure by Insurance Commissioner

 (a) The Insurance Commissioner may license for participation in the Medicaid provider-led organized care system one (1) or more risk-based provider organizations that satisfactorily meet licensure requirements and are capable of coordinating the delivery and payment of healthcare services for the enrollable Medicaid beneficiary populations.  (b) The commissioner shall require a risk-based provider organization to enroll members of covered Medicaid beneficiary populations statewide.
AR Code § 20-77-2705 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 27 - Medicaid Provider-Led Organized Care Act|§ 20-77-2705. Excluded services

 (a) Except as provided in subsection (b) of this section, all healthcare services delivered through the Medicaid provider-led organized care system shall:  (1) Be available for all members of covered Medicaid beneficiary populations; and  (2) Be comparable in amount, duration, or scope as compared to other Medicaid-eligible individuals as specified in the state plan for medical assistance.    (b) The Medicaid provider-led organized care system shall be implemented to the extent possible, but shall not include the following services when provided to enrollable Medicaid beneficiary populations:  (1) Nonemergency medical transportation in a capitated program;  (2) Dental benefits in a capitated program;  (3) School-based services provided by school employees;  (4) Skilled nursing facility services;  (5) Assisted living facility services;  (6) Human development center services; or  (7) Waiver services provided to adults with physical disabilities through the ARChoices in Homecare program or the Arkansas IndependentChoices program.
AR Code § 20-77-2707 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 27 - Medicaid Provider-Led Organized Care Act|§ 20-77-2707. Reporting and performance measures

 (a)  (1) On a quarterly basis, a risk-based provider organization shall submit to the Department of Human Services protected health information for each member of a covered Medicaid beneficiary population and a voluntary Medicaid beneficiary population enrolled with the risk-based provider organization in accordance with standards and procedures adopted by the department, including without limitation:  (A) Claims data, including without limitation:  (i) Denial rates; and  (ii) Claims-paid rates;    (B) Encounter data;  (C) Unique identifiers;  (D) Geographic and demographic information;  (E) Patient satisfaction scores; and  (F) Other information as required by the state.    (2) Personally identifiable data submitted under this section shall be treated as confidential and is exempt from disclosure under the Freedom of Information Act of 1967, § 25-19-101 et seq.    (b) The department shall use the data submitted under subsection (a) of this section to measure the performance of the risk-based provider organization in:  (1) Delivery of services;  (2) Patient outcomes;  (3) Efficiencies achieved; and  (4) Quality measures.    (c) Performance measures established by the department shall at a minimum monitor:  (1) Reduction in unnecessary hospital emergency department utilization;  (2) Adherence to prescribed medication regimens;  (3) Reduction in avoidable hospitalizations for ambulatory-sensitive conditions; and  (4) Reduction in hospital readmissions.    (d) The department shall issue funds from the quality incentive pool above the amount of the global payments initially provided to a risk-based provider organization that meets or exceeds specific performance and outcome measures established by the department.  (e) On a quarterly basis, the department shall report to the Legislative Council, or to the Joint Budget Committee if the General Assembly is in session, available information regarding:  (1) Risk-based provider organization membership enrollment and distribution;  (2) Patient experience data; and  (3) Financial performance, including demonstrated savings.
AR Code § 20-77-2708 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 27 - Medicaid Provider-Led Organized Care Act|§ 20-77-2708. Waiver and rulemaking authority

 The Department of Human Services:   (1) Shall submit an application for any federal waivers, federal authority, or state plan amendments necessary to implement this subchapter; and  (2) May promulgate rules as necessary to implement this subchapter.
AR Code § 20-77-2801 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 28 - Assessment Fee and Program on Medical Transportation Providers|§ 20-77-2801. Legislative findings and intent

 (a) The General Assembly finds that:  (1) Emergency medical services constitute an invaluable part of the healthcare delivery system of Arkansas;  (2) Emergency medical services will be a key element in any healthcare reform initiative;  (3) Emergency medical services are a key component of any economic development program as emergency medical services are essential to recruiting and retaining industry;  (4) Emergency medical services are a critical element of the emergency preparedness system within Arkansas; and  (5) While containing the cost of funding within the Arkansas Medicaid Program and providing healthcare services for the poor and uninsured individuals of this state are vital interests, the challenges associated with appropriate reimbursement for emergency medical services under the Arkansas Medicaid Program are recognized.    (b) It is the intent of the General Assembly to assure appropriate reimbursement by establishing an assessment on emergency medical services to preserve vital emergency medical services for all residents of Arkansas.
AR Code § 20-77-2802 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 28 - Assessment Fee and Program on Medical Transportation Providers|§ 20-77-2802. Definitions

 As used in this subchapter:   (1) “Air ambulance services” means services authorized and licensed by the Department of Health to provide care and air transportation of patients;  (2) “Ambulance services” means services authorized and licensed by the department to provide care and transportation of patients upon the streets and highways of Arkansas;  (3) “Emergency medical services” means:  (A) The transportation and medical care provided an ill or injured person before arrival at a medical facility by licensed emergency medical services personnel or other healthcare provider;  (B) Continuation of the initial emergency care within a medical facility subject to the approval of the medical staff and governing board of that facility; and  (C) Integrated medical care in emergency and nonurgent settings with the oversight of a physician;    (4)  (A) “Medical transportation” means emergency medical services provided through ambulance services and air ambulance services.  (B) “Medical transportation” does not include nonemergency ambulance services;    (5) “Medical transportation provider” means a licensed provider of medical transportation;  (6) “Net operating revenue” means the gross revenues earned for providing medical transportation in Arkansas, excluding amounts refunded to or recouped, offset, or otherwise deducted by a patient or payer for medical transportation;  (7)  (A) “Nonemergency ambulance services” means the transport in a motor vehicle to or from medical facilities, including without limitation hospitals, nursing homes, physicians' offices, and other healthcare facilities of persons who are ill or injured and who are transported in a reclining position.  (B) “Nonemergency ambulance services” does not include transportation provided by licensed hospitals that own and operate the ambulance for their own admitted patients;    (8) “Specialty-hospital-based ambulance services” means ambulance services provided by an acute care general hospital that limits healthcare services primarily to children and qualifies as exempt from the Medicare prospective payment system regulation;  (9) “Upper payment limit” means the lesser of the customary charges of the medical transportation provider or the prevailing charges in the locality of the medical transportation provider for comparable services under comparable circumstances, calculated according to methodology in an approved state plan amendment for the Arkansas Medicaid Program; and  (10)  (A) “Upper payment limit gap” means the difference between the upper payment limit of the medical transportation provider and the Medicaid payments not financed using medical transportation assessment made to all medical transportation providers.  (B) “Upper payment limit gap” is calculated separately for ambulance services and air ambulance services.
AR Code § 20-77-2803 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 28 - Assessment Fee and Program on Medical Transportation Providers|§ 20-77-2803. Medical transportation provider assessment

 (a)  (1) Except as provided in this subchapter, an assessment is imposed on each medical transportation provider for each state fiscal year in an amount calculated as a percentage of the net operating revenues of the medical transportation provider.  (2) The assessment rate shall be determined annually based upon the percentage of net operating revenue needed to generate an amount up to the nonfederal portion of the upper payment limit gap plus the annual fee to be paid to the Arkansas Medicaid Program under § 20-77-2805(f)(1)(C), but in no case at a rate that would cause the assessment proceeds to exceed the indirect guarantee threshold set forth in 42 C.F.R. § 433.68(f)(3)(i).  (3) The assessment rate described in subsection (a) of this section shall be determined after consultation with The Arkansas Ambulance Association or its successor association.    (b) This subchapter does not authorize a unit of county or local government to license for revenue or impose a tax or assessment:  (1) Upon medical transportation providers; or  (2) Measured by the income or earnings of a medical transportation provider.
AR Code § 20-77-2804 (2020)
2020 Arkansas Code|Title 20 - Public Health and Welfare|Subtitle 5 - Social Services|Chapter 77 - Medical Assistance|Subchapter 28 - Assessment Fee and Program on Medical Transportation Providers|§ 20-77-2804. Program administration

 (a) The Director of the Division of Medical Services of the Department of Human Services shall administer the assessment program created in this subchapter.  (b)  (1) The Division of Medical Services of the Department of Human Services shall adopt rules to implement this subchapter.  (2) Unless otherwise provided in this subchapter, the rules adopted under subdivision (b)(1) of this section shall not grant any exceptions to or exemptions from the medical transportation provider assessment imposed under § 20-77-2803.  (3) The rules adopted under subdivision (b)(1) of this section shall include any necessary forms for:  (A) Calculating of upper payment limits;  (B) Reporting of net operating revenue;  (C) Imposing and collecting of the medical transportation provider assessment imposed under § 20-77-2803; and  (D) Enforcing this subchapter, including without limitation letters of caution or sanctions.    (4) The rules adopted under subdivision (b)(1) of this section shall specify which time periods are used as the basis for the calculation of the assessment in each state fiscal year.    (c) To the extent practicable, the division shall administer and enforce this subchapter and collect the assessments, interest, and penalty assessments imposed under this subchapter using procedures generally employed in the administration of the division's other powers, duties, and functions.