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016.06.3-215.124. Reconsideration of Benefit Extension Denials

AR ADC 016.06.3-215.124Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 3. Ambulatory Surgical Center Provider Manual (Refs & Annos)
Section 210.000. Program Coverage
Ark. Admin. Code 016.06.3-215.124
016.06.3-215.124. Reconsideration of Benefit Extension Denials
Currentness
A. Medicaid allows only one reconsideration of a denied benefit extension request.
B. Reconsideration requests that do not include all required documentation will be automatically denied.
C. Requests to reconsider benefit extension denials must be received by AFMC within 30 calendar days of the date of the denial notice. When requesting reconsideration:
1. Return all previously submitted documentation and pertinent additional information to justify the medical necessity of additional services.
2. Include a copy of the NOTICE OF ACTION denial letter with the resubmission.

Credits

Eff. Nov. 1, 2007; Oct. 13, 2003; Feb. 1, 2005.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.3-215.124, AR ADC 016.06.3-215.124
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