Medicaid providers may request a fair hearing on any decision or action by the Department of Human Services or its reviewers or contractors that adversely affects a Medicaid provider or client regarding receipt of and payment for Medicaid claims and services including but not limited to decisions as to:
- Appropriate level of care or coding,
- Medical necessity,
- Prior authorization,
- Concurrent reviews,
- Retrospective reviews,
- Least restrictive setting
- Desk audits,
- Field audits and onsite audits, and
- Inspections
Medicaid Provider Fair Hearing requests must be sent to the Arkansas Department of Health, Medicaid Provider Appeals, within 30 calendar days of the date on the notice of adverse action.
Medicaid Provider Appeals may be submitted by U.S. Mail or in-person delivery, by facsimile, or e-mail.
By mail or in-person:
Medicaid Provider Appeals
Arkansas Department of Health
4815 West Markham Street – Slot 31
Little Rock, AR 72205
By fax: 501-661-2357
By email: [email protected]
