A. A request for administrative reconsideration of an extension of benefits denial must be in writing and sent to DHS or its designated vendor within thirty (30) calendar days of the denial. View or print contact information to obtain the DHS or designated vendor step-by-step process for requesting extension of benefits. The request must include a copy of the denial letter and additional supporting documentation.

B. The deadline for receipt of the reconsideration request will be enforced pursuant to Sections 190.012 and 190.013 of the Arkansas Medicaid provider manual. A request received within thirty-five (35) calendar days of a denial will be deemed timely. A request received later than thirty-five (35) calendar days will be considered on an individual basis.