Living Choices Assisted Living
Assisted Living Facility Regulations
To read and/or download the final regulations for both Level I and Level II Assisted Living Facilities in either Adobe Acrobat Reader .PDF or Microsoft Word .doc format, please visit the website of Arkansas Medicaid's Office of Long Term Care (OLTC).
Living Choices Assisted Living Waiver Provider Information
Living Choices Assisted Living Provider Enrollment
- A Living Choices Assisted Living Waiver "assisted living services" provider must be licensed as a Level II Assisted Living Facility or licensed as a Class A Home Health Agency who has a contract with a licensed Level II Assisted Living Facility to provide waiver services.
- Providers must be enrolled with the Division of Medical Services Medicaid Provider Enrollment Unit as a Living Choices Assisted Living provider.
Living Choices Assisted Living Waiver Eligibility & Services Client Eligibility
To be eligible for Living Choices, you must:
1. Be age 65 and over, or age 21 and over and blind or have a physical disability.
2. Meet certain financial eligibility requirements as determined by Medicaid, including: Monthly Income No More than 300% of SSI (Resource Limits: $2,000 Individual/$3,000 Couple).
3. Have functional needs that would require institutional care in a nursing facility at the Intermediate Level. Applicants classified as skilled care patients are not eligible for Living Choices.
To meet functional criteria for the Living Choices waiver program, the applicant must meet at least one of the following criteria as determined by a licensed medical professional:
1. The individual is unable to perform either of the following:
(A) At least one of the three activities of daily living (ADL) of transferring/locomotion, eating or toileting without extensive assistance from or total dependence upon another person; or
(B) At least two of the three activities of daily living (ADL) of transferring/locomotion, eating or toileting without limited assistance from another person; or,
2. Medical assessment results in a score of three or more on cognitive performance scale; or
3. Medical assessment results in Changes in Health, End-stage disease, Signs and Symptoms (CHESS) score of three or more.
NOTE: Definitions related to the Nursing Home Admission Criteria are available from the Division of Aging & Adult Services or the Division of Medical Services' Office of Long Term Care upon request
It is preferred that applications be made at the DHS County Office in the county where the assisted living facility is located. However, the application can be made in the county of residence and transferred to the county where the facility is located, allowing the application to be made at any DHS county office.
The DHS County Office Eligibility Worker will determine financial eligibility and will send a referral to the DAAS RN
DAAS will simultaneously collect information for submission to DMS OLTC for functional/nursing home admission and level of care eligibility determination and will complete an assessment and service plan
DHS County Office will make the final eligibility determination and open the Medicaid case
Client eligibility is reassessed annually
Role of the Assisted Living Waiver Registered Nurse
- DAAS Employee
- Collects information for submission to DMS OLTC for functional/nursing home admission level of care eligibility determination
- Completes the Comprehensive Assessment and Establishes the Tier of Need
- Completes the Plan of Care — Updates the Plan of Care annually and at times of significant change
1. Assisted Living Services include:
- Attendant Care - Assistance with ADLs: mobility & transferring, toileting or incontinence care, eating & drinking, etc.
- Therapeutic, Social and Recreational Activities
- Medication Oversight to the extent permitted under State law
- Medication Administration
- Periodic Nursing Evaluations
- Limited Nursing Services
- Non-Medical Transportation specified in the plan of care
2. Extended Prescription Drug Coverage:
- Three prescription drugs beyond the Medicaid State Plan Pharmacy Program's monthly benefit limit and extension of that monthly benefit limit
- This is for only those who are eligible for Medicaid only, and not Medicare
- Participants dually eligible for Medicaid and Medicare are not eligible for Extended Prescription Drug Coverage as prescriptions are covered through Medicare Part D
Provider Information for Reassessments and Reconsiderations
Click on New User Setup to send an email. Please make sure to include the following required details:
- Provider-Facility Name
- County (Main Office)
- Contact Person (First & Last Name)
- Telephone number with extension
- Contact Person't email address
Click here for the Reassessment Form ***Note: Save a blank copy on your computer. Also, make sure you enable editing so you can fill in the fields on the form.***
If you have questions, contact the Division of Aging and Adult Services
or Call toll-free 1-866-801-3435 (8 to 4:30 M - F)