# Ark. Code Ann. § 23-86-123: Prior authorization by physician - Definitions

> Arkansas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-123

## Section

- **Citation:** Ark. Code Ann. § 23-86-123
- **Heading:** Prior authorization by physician - Definitions
- **Jurisdiction:** Arkansas
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** AR Code / Title 23 / Chapter 86 / Subchapter 1 / Section 23-86-123

## Text

(a) As used in this section: (1) "Prior authorization" means the process by which a health carrier determines the medical necessity or eligibility for coverage of a healthcare service before a covered person receives the healthcare service in order to provide coverage and reimbursement for the healthcare service; and (2) "Telemedicine" means the same as defined in § 23-79-1601 . (b) When conducting prior authorization, whether for healthcare services provided through telemedicine or provided in person, a physician who possesses a current and unrestricted license to practice medicine in the State of Arkansas shall make all adverse determinations for healthcare services, medications, or equipment prescribed by a physician. Amended by Act 2017, No. 203,§ 5, eff. 8/1/2017. Added by Act 2015, No. 887,§ 5, eff. 4/1/2015.

(a) As used in this section: (1) "Prior authorization" means the process by which a health carrier determines the medical necessity or eligibility for coverage of a healthcare service before a covered person receives the healthcare service in order to provide coverage and reimbursement for the healthcare service; and (2) "Telemedicine" means the same as defined in § 23-79-1601 .

(1) "Prior authorization" means the process by which a health carrier determines the medical necessity or eligibility for coverage of a healthcare service before a covered person receives the healthcare service in order to provide coverage and reimbursement for the healthcare service; and

(2) "Telemedicine" means the same as defined in § 23-79-1601 .

(b) When conducting prior authorization, whether for healthcare services provided through telemedicine or provided in person, a physician who possesses a current and unrestricted license to practice medicine in the State of Arkansas shall make all adverse determinations for healthcare services, medications, or equipment prescribed by a physician.

Amended by Act 2017, No. 203,§ 5, eff. 8/1/2017.

Added by Act 2015, No. 887,§ 5, eff. 4/1/2015.

## Nearby sections

- [Ark. Code Ann. § 23-86-101 Blanket accident and health insurance - Definition](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-101.md)
- [Ark. Code Ann. § 23-86-102 Blanket accident and health insurance - Required provisions](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-102.md)
- [Ark. Code Ann. § 23-86-103 Blanket accident and health insurance - Application and certificates not required](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-103.md)
- [Ark. Code Ann. § 23-86-104 Blanket accident and health insurance - Payment of benefits](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-104.md)
- [Ark. Code Ann. § 23-86-106 Group accident and health insurance - Definition](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-106.md)
- [Ark. Code Ann. § 23-86-107 Group accident and health insurance - Authorized insurer required](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-107.md)
- [Ark. Code Ann. § 23-86-108 Group accident and health insurance - Required provisions](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-108.md)
- [Ark. Code Ann. § 23-86-109 Group accident and health insurance - Optional continuation of benefit provisions](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-109.md)
- [Ark. Code Ann. § 23-86-110 Group accident and health insurance - Administration of benefits](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-110.md)
- [Ark. Code Ann. § 23-86-111 Group accident and health insurance - Payment of benefits when other like insurance exists](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-111.md)
- [Ark. Code Ann. § 23-86-112 Group accident and health insurance - Direct payment of hospital or medical services](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-112.md)
- [Ark. Code Ann. § 23-86-113 Minimum benefits for mental illness in group accident and health insurance policies or subscriber's contracts - Definition](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-113.md)
- [Ark. Code Ann. § 23-86-114 Group accident and health insurance - Continuation of coverage beyond termination of employment, change in marital status, etc](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-114.md)
- [Ark. Code Ann. § 23-86-115 Group accident and health insurance - Entitlement to conversion policy upon termination of group policy](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-115.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C86_S1_S23-86-123. Check the current official text before relying on it. Not legal advice.
