Explanations for adverse decisions required.
Ark. Code Ann. § 20-77-1705
in effect(a) Each denial or other deficiency that the Department of Human Services makes against a Medicaid provider shall be prepared in writing and shall specify:
(1) The nature of the adverse decision;
(2) The statutory provision or specific rule alleged to have been violated; and
(3) The facts and grounds that form the basis for the adverse decision.
(b) A notice of an adverse decision sent to a provider shall contain at a minimum:
(1) A clear and detailed explanation of the rationale for the adverse decision; and
(2) Citations to all specific protocols, procedures, or policy manual references that were relied upon in making the adverse decision.
Source: Arkansas General Assembly, Acts of 2021-2026 (arkleg.state.ar.us)URL: https://arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2F&file=515.pdf&ddBienniumSession=2025%2F2025RFetched: 11/8/2026
