Prior Authorization in Arkansas
Arkansas passed the Patients' Right to Step Therapy Override Act (Act 800, 2019) allowing physicians to request step therapy overrides when a required drug is contraindicated, expected to be ineffective, or was previously tried. Insurers must respond to override requests within 72 hours.
Key Facts About PA in Arkansas
- ✓ Step therapy override law allows exceptions for contraindications, expected inefficacy, or prior trials
- ✓ Insurers must respond to step therapy override requests within 72 hours
- ✓ External review is available through the Arkansas Insurance Department
- ✓ Medicaid managed care plans must comply with state PA timelines
Quick Stats
- Typical Appeal Filing Window: 30 days
- External Review Available: Yes
- Major Payers: 4
Top Payers in Arkansas
RxCheckUp generates payer-specific Letters of Medical Necessity for each of these Arkansas carriers:
Arkansas Blue Cross Blue ShieldUnitedHealthcareQualChoiceAmbetter