If you do not agree with your tier determination, you have the right to request a hearing. A request must be received at the DHS Office of Appeals and Hearings’ address below no later than 35 days from the mailing date. Please put your request for a hearing and for any services in writing. With your request, please include a copy of your assessment results from Optum and mail it to:
Arkansas Department of Human Services
Office of Appeals & HearingsP.O. Box 1437, Slot N401
Little Rock, AR 72203
Division of Medical Services