Arkansas Department of Human Services v. Lori Rawls

CourtCourt of Appeals of Arkansas
DecidedMay 6, 2026
StatusPublished

This text of Arkansas Department of Human Services v. Lori Rawls (Arkansas Department of Human Services v. Lori Rawls) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arkansas Department of Human Services v. Lori Rawls, (Ark. Ct. App. 2026).

Opinion

Cite as 2026 Ark. App. 284 ARKANSAS COURT OF APPEALS DIVISION IV No. CV-25-282

Opinion Delivered May 6, 2026

APPEAL FROM THE PHILLIPS ARKANSAS DEPARTMENT OF COUNTY CIRCUIT COURT HUMAN SERVICES [NO. 54CV-24-148] APPELLANT

HONORABLE DANNY GLOVER, V. JUDGE

LORI RAWLS DISMISSED WITHOUT PREJUDICE APPELLEE

CINDY GRACE THYER, Judge

The Arkansas Department of Human Services (DHS) appeals an order of the Phillips

County Circuit Court remanding the case back to DHS, Office of Appeals and Hearings, for

an in-person hearing and to allow for the presentation of additional evidence. We dismiss

for lack of a final, appealable order.

Appellee Lori Rawls is the mother and guardian of Jackson Rawls, a twenty-one-year-

old who suffers from Baraitser-Winter syndrome, hypertonia, hyperextension of the wrists,

flat feet, and scoliosis as well as intellectual and developmental disabilities. She applied on

Jackson’s behalf for the ARChoices waiver program to receive in-home care.1

1 ARChoices in Homecare is a Medicaid program that provides home and community- based services for adults ages twenty-one through sixty-four with a physical disability, and for seniors age sixty-five or older. Arkansas Department of Human Services, ARChoices in To determine Jackson’s eligibility in the program, DHS obtained an assessment by a

registered nurse with Optum Government Solutions. That assessment found that Jackson

had limitations in all three aspects of daily living—eating, transferring/locomotion, and

toileting—and assigned him a Tier Two rating, indicating that he might meet the functional

eligibility requirements of ARChoices.

On February 22, 2024, DHS denied Rawls’s request for ARChoices coverage, stating

that Jackson was ineligible. According to the ARChoices waiver program manual, section

212.100(c), in order for a participant to qualify for an intermediate level of care, the

participant must be totally dependent or require extensive assistance from another person in

two of the three areas of mobility, feeding, and toileting. While Jackson’s assessment showed

that he had limitations in all three areas, DHS noted that the assessment indicated he could

eat and transfer without hands-on assistance and required only limited assistance while

toileting.

Rawls appealed the denial and requested a hearing.

Homecare, https://humanservices.arkansas.gov/divisions-shared-services/aging-adult- behavioral-health-services/find-home-community-based-services-for-adults-seniors/archoices- in-homecare (archived at https://perma.cc/YJ9Y-T29T) (date last accessed 04/29/2026). The program is designed to prevent nursing home admissions of those at risk. American Council on Aging, Arkansas Medicaid’s ARChoices in Homecare/Independent Choices Program, https://www.medicaidplanningassistance.org/arkans as-archoices-in-homecare (archived at https://perma.cc/7TAT-885T) (date last accessed 04/29/2026).

2 An administrative hearing was held telephonically on May 7. Rawls appeared pro se;

DHS appeared through counsel.

Rawls testified that Jackson was twenty-one years old and had one year left in school,

where he receives occupational therapy due to his disabilities. She stated that Jackson suffers

from Baraitser-Winter syndrome, which affects him mentally and physically. He also has a

total spine fusion, which limits his ability to bend and twist. She stated that he cannot bathe

himself, and while he can feed himself, his meals must be prepared for him. She testified

that sometimes she has to help him finish his meals because he cannot get food around the

rim. She also stated that, while he can toilet himself, he cannot unzip or unbutton his pants,

and he cannot clean himself. As for mobility, she stated that he is mobile, can move from a

bed to a chair, and can walk around in the house. She says that his syndrome also affects his

vision, noting that he ran into a wall during his assessment.

Rochelle Fair-Bailey, the registered nurse who conducted Jackson’s assessment, also

testified at the hearing. She stated that she conducted the assessment and assessed him at

Tier Two, using “afria (phonetic)” and information by provided by Rawls.

Deanna Price, a registered nurse with the Division of County Operations in the

Medical Determination Department, testified regarding DHS’s denial. She stated that DHS

does not rely on the tier level determined by Optum but instead bases its determination on

its own review of the assessment. She stated that a nurse in her office had reviewed the

Optum assessment and had determined that Jackson was limited only in toileting. After

hearing Rawls’s testimony at the hearing, her decision would not change. She testified:

3 Well, I’m – I’m looking at the assessment right now and ED was set up independent. Toileting was limited. Transfers, he didn’t need any assistance, and under mobility, the Optum assessment says limited, but under other challenges getting around the home, it says, caregiver states client has issues with his back and feet and balance issues and poor navigation. He needs supervision and non- weightbearing hands-on help to safely go up and down the stairs in the home, but client only goes up and downs the stairs in the home maybe one to two times a month, and for it to be limited have to be one – I mean, three or more times a week hands- on assistance. And that’s why that’s not limited.

She stated that there was no indication that Jackson suffered from Alzheimer’s or

related dementia; nor did he have any medical condition that required monitoring or

assessment by a licensed medical professional at least once a day. She did state, however, that

Jackson might be eligible for personal-care services.

At the close of the hearing, Rawls informed the court that she would provide the

hearing officer with a copy of Jackson’s Medicaid assessment performed by Dr. Sudhir

Kumar. DHS agreed but requested that the record be kept open so that it had an opportunity

review the document.

The hearing officer issued its decision denying Jackson’s ARChoices application on

May 17. The hearing officer concluded that Jackson did not meet the criteria for a nursing-

home-facility level of care. The hearing officer noted:

In this matter [Jackson] is not functionally disabled in at least two of the following three activities of daily living of toileting, eating, or transferring/locomotion. [Jackson] did not need limited or extensive assistance or total dependence with eating and transferring/locomotion. Furthermore, [Jackson] does not have a diagnosis of Dementia or Alzheimer’s. [Jackson] does not have a diagnosed medical condition which requires monitoring or assessment at least once a day by a licensed medical professional and the condition, if untreated would be life- threatening.

4 As a result, the hearing officer concluded that Jackson had failed to prove that he met the

medical criteria for the nursing home placement/level of care, and therefore, DHS had not

erred in determining that Jackson was ineligible for those services.

Upon receiving the denial, Rawls hired counsel and filed a petition for judicial review

in the Phillips County Circuit Court. The circuit court held a hearing on December 9, and

Jackson was present. At the hearing, Rawls requested the opportunity to present witnesses,

and DHS objected. The court heard arguments of counsel and took the matter under

advisement. Both parties filed briefs in support of their respective positions. As part of her

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Ark. Dep't of Fin. & Admin. v. Naturalis Health, LLC
549 S.W.3d 901 (Supreme Court of Arkansas, 2018)
Rogers v. Wood Manufacturing
877 S.W.2d 43 (Court of Appeals of Arkansas, 1994)
Ameen Olwan v. Arkansas Tobacco Control Board
2020 Ark. App. 201 (Court of Appeals of Arkansas, 2020)

Cite This Page — Counsel Stack

Bluebook (online)
Arkansas Department of Human Services v. Lori Rawls, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arkansas-department-of-human-services-v-lori-rawls-arkctapp-2026.