# Ark. Code Ann. § 23-99-1106: Prior authorization - Urgent healthcare service > Arkansas · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1106 ## Section - **Citation:** Ark. Code Ann. § 23-99-1106 - **Heading:** Prior authorization - Urgent healthcare service - **Jurisdiction:** Arkansas - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** AR Code / Title 23 / Chapter 99 / Subchapter 11 / Section 23-99-1106 ## Text (a) A utilization review entity shall render an expedited authorization or adverse determination concerning an urgent healthcare service and notify the subscriber and the subscriber's healthcare provider of that expedited prior authorization or adverse determination no later than one (1) business day after receiving all information needed to complete the review of the requested urgent healthcare service. (b) (1) If a utilization review entity denies a prior authorization of an urgent healthcare service, then the subscriber or the healthcare provider may elect to appeal the denial of the prior authorization of the urgent healthcare service. (2) If a denial of a prior authorization of an urgent healthcare service is appealed to the utilization review entity, then within two (2) business days of receiving all necessary information required, the utilization review entity shall: (A) Make an authorization or adverse determination; and (B) Notify the subscriber and the healthcare provider that appealed the denial of the prior authorization of the urgent healthcare service of the decision. (3) This subsection applies to an enrollee who is being evaluated or treated for: (A) A hematology diagnosis; (B) An oncology diagnosis; or (C) An additional disease state or other diagnoses that the Insurance Commissioner may include by rule. Amended by Act 2023, No. 501,§ 3, eff. 8/1/2023. Added by Act 2015, No. 1106,§ 2, eff. 7/22/2015. (a) A utilization review entity shall render an expedited authorization or adverse determination concerning an urgent healthcare service and notify the subscriber and the subscriber's healthcare provider of that expedited prior authorization or adverse determination no later than one (1) business day after receiving all information needed to complete the review of the requested urgent healthcare service. (b) (1) If a utilization review entity denies a prior authorization of an urgent healthcare service, then the subscriber or the healthcare provider may elect to appeal the denial of the prior authorization of the urgent healthcare service. (2) If a denial of a prior authorization of an urgent healthcare service is appealed to the utilization review entity, then within two (2) business days of receiving all necessary information required, the utilization review entity shall: (A) Make an authorization or adverse determination; and (B) Notify the subscriber and the healthcare provider that appealed the denial of the prior authorization of the urgent healthcare service of the decision. (3) This subsection applies to an enrollee who is being evaluated or treated for: (A) A hematology diagnosis; (B) An oncology diagnosis; or (C) An additional disease state or other diagnoses that the Insurance Commissioner may include by rule. (1) If a utilization review entity denies a prior authorization of an urgent healthcare service, then the subscriber or the healthcare provider may elect to appeal the denial of the prior authorization of the urgent healthcare service. (2) If a denial of a prior authorization of an urgent healthcare service is appealed to the utilization review entity, then within two (2) business days of receiving all necessary information required, the utilization review entity shall: (A) Make an authorization or adverse determination; and (B) Notify the subscriber and the healthcare provider that appealed the denial of the prior authorization of the urgent healthcare service of the decision. (A) Make an authorization or adverse determination; and (B) Notify the subscriber and the healthcare provider that appealed the denial of the prior authorization of the urgent healthcare service of the decision. or adverse determination; and (B) Notify the subscriber and the healthcare provider that appealed the denial of the prior authorization of the urgent healthcare service of the decision. (A) Make an authorization or adverse determination; and (B) Notify the subscriber and the healthcare provider that appealed the denial of the prior authorization of the urgent healthcare service of the decision. (3) This subsection applies to an enrollee who is being evaluated or treated for: (A) A hematology diagnosis; (B) An oncology diagnosis; or (C) An additional disease state or other diagnoses that the Insurance Commissioner may include by rule. (A) A hematology diagnosis; (B) An oncology diagnosis; or (C) An additional disease state or other diagnoses that the Insurance Commissioner may include by rule. Amended by Act 2023, No. 501,§ 3, eff. 8/1/2023. Added by Act 2015, No. 1106,§ 2, eff. 7/22/2015. ## Nearby sections - [Ark. Code Ann. § 23-99-1101 Title](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1101.md) - [Ark. Code Ann. § 23-99-1102 Legislative findings and intent](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1102.md) - [Ark. Code Ann. § 23-99-1103 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1103.md) - [Ark. Code Ann. § 23-99-1104 Disclosure required](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1104.md) - [Ark. Code Ann. § 23-99-1105 Prior authorization - Nonurgent healthcare service](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1105.md) - [Ark. Code Ann. § 23-99-1106 Prior authorization - Urgent healthcare service](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1106.md) - [Ark. Code Ann. § 23-99-1107 Prior authorization - Emergency healthcare service](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1107.md) - [Ark. Code Ann. § 23-99-1108 Subscribers with terminal illness - Denial of prior authorization for covered prescription pain medication prohibited](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1108.md) - [Ark. Code Ann. § 23-99-1109 Rescission of prior authorizations - Denial of payment for prior authorized services - Limitations](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1109.md) - [Ark. Code Ann. § 23-99-1110 Waiver prohibited](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1110.md) - [Ark. Code Ann. § 23-99-1111 Requests for prior authorization - Qualified persons authorized to review and approve - Adverse determinations to be made only by Arkansas-licensed physicians - Opportunity to discuss treatment before adverse determination](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1111.md) - [Ark. Code Ann. § 23-99-1112 Application of subchapter](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1112.md) - [Ark. Code Ann. § 23-99-1113 Benefit inquiries authorized](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1113.md) - [Ark. Code Ann. § 23-99-1114 Limitation on step therapy - Definitions](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1114.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C99_S11_S23-99-1106. Check the current official text before relying on it. Not legal advice.