Arkansas
LLC
Website link to register:
https://www.sos.arkansas.gov/business-commercial-services
Naming conventions
Names cannot imply professional qualifications unless licensed.
Must include “Limited Liability Company,” “LLC,” or “L.L.C.” Professional practices require “PLLC.”
Licensing Requirements
Submit proof of medical licenses from the Arkansas State Medical Board.
State-specific certifications may be required depending on the services offered, such as radiology or surgery.
Required documentation for medical practices
Articles of Organization, Specialized Permits, Professional Licenses, Malpractice Insurance
Filing Fee: $50
Annual/Biennial Fee: $150
Additional Notes: Annual report due May 1.
Medicaid
Program Name: Arkansas Medicaid
Official Website: Arkansas MMIS
Legislation: Arkansas passed the DPC Act in 2019, allowing DPC agreements and defining them as non-insurance.
Private Contracting
Private contracting is explicitly allowed under the Arkansas DPC Act.
Restrictions
No explicit restrictions for DPC providers; compliance with federal regulations is required.
Medicaid Program
Arkansas Medicaid provides coverage to eligible low-income families, including expanded Medicaid under the ACA.
Notification Requirements
Notification must be provided if refusing Medicaid acceptance.
Provider Enrollment Requirements
Providers must enroll with Medicaid to order, refer, or provide reimbursable services for Medicaid recipients.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face barriers in ordering, referrals, or recognition by Medicaid.
Designated PCP Restrictions
DPC physicians cannot act as designated PCPs under Medicaid.
Billing and Reimbursement
DPC services are not reimbursed by Medicaid unless the provider is enrolled and follows Medicaid rules.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services without pre-agreed terms.
CMS Guidance
CMS supports streamlined provider enrollment for limited purposes.
Opportunities for Collaboration
Partnering with Medicaid Managed Care Organizations (MCOs) could expand opportunities to serve Medicaid patients.
State-Specific Notes
Opportunity to collaborate with state Medicaid agencies on innovative primary care models.
Dispensing Medication
Board of Pharmacy Official Link: https://www.pharmacyboard.arkansas.gov/
State Licensing
Physicians must have a medical license; controlled substances require compliance with the state board of pharmacy.
Scope of Practice
Direct dispensing allowed for non-controlled substances. Controlled substances are heavily regulated.
Inventory Management
Inventory logs must be maintained for all medications. Secure storage is essential.
Record-Keeping
Logs must be accurate and meet state regulations; compliance with HIPAA is required.
Dispensing Standards
Arkansas mandates specific labeling requirements for all dispensed medications.
Controlled Substances
DEA registration and state-level reporting are required for controlled substances.
Billing and Reimbursement
Billing must follow state-specific guidelines and federal anti-kickback laws.
Federal Compliance
Comply with federal regulations, including OSHA standards for handling hazardous substances.
State Pharmacy Laws
Physicians dispensing controlled substances must comply with the Arkansas State Board of Pharmacy regulations.
Patient Consent
Patients must provide informed consent for dispensed medications.
Insurance and Liability
Professional liability insurance must cover risks associated with dispensing.
Training Requirements
Continuing education is recommended for compliance with Arkansas dispensing laws.
Audits and Inspections
Regular inspections are conducted by the Arkansas medical board; non-compliance may result in penalties.