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Waiver Services


The DDS Waiver Services section provides a variety of community-based services to eligible individuals in addition to the management, policy development, planning and administration of the Medicaid Home and Community Based Waiver.
Medicaid Home and Community Based Waiver Services are available to a limited number of individuals as an alternative to ICF/IDD placement.  Under this waiver, individuals may receive services such as Care Coordination, Supported Living Services, Non-Medical Transportation, Adaptive Equipment, Environmental Modifications, Supplemental Support Services, Consultation Services, and Crisis Intervention Services, through DDS licensed community providers.

Click here to learn about the Health Care Payment Improvement Initiative

Information on the HCBS settings rule and the Arkansas state transition plan:

In order to contact us directly regarding the HCBS settings rule, please email us at dhs.hcbs.rule.questions@dhs.arkansas.gov

To apply for Children's services, call 501-682-2277
To apply for Adult services, call 501-682-8678 or 501-683-5687

Title Type
Waiver Eligibility Information WEB
Priority Waitlist Information PDF
Appeal information PDF
Children with Disabilities Service Guide PDF
Adults with Disabilities Service Guide | English PDF
Adults with Disabilities Service Guide | Spanish PDF
U.S Department of Health and Human Services, Medicare and Medicaid Services WEB



Waiver Renewal

The following are for the implementation of the Waiver renewal effective October 1, 2017.

Title Type
Social History Form DOCX
CES-104 | Areas of Need Form DOCX
CES-105 | Withdrawl Form DOCX
CES-107 | Minimum Wage Change Form XLSX
CES-108 | PCSP CSR Narrative Form DOCX
CES-109 | Risk Assessment Form DOCX
CES-110 | Pro-Rated Staff Worksheets XLSX
CES-111 | Unable to Serve Form DOCX
CES-115 | Change of Address Form DOCX
CES-116 | Abeyance Monthly Report DOCX
CES-204 | Waiver Face Sheet DOCX
CES-703 | Waiver PCSP Forms DOCX
DDS CES Waiver Renewal (Effective October 1, 2017) PDF

Waiver Training

The following presentations supplement Waiver Services information.


ACS Waiver Overview

A PowerPoint presentation that highlights waiver history, the application process and the services available in Arkansas’ Waiver.

Title Type
ACS Waiver Overview | History, applicaton process and services PPT



Case Management Discussion

A PowerPoint presentation that identifies the roles of the provider Case Manager and the Direct Care Supervisor within the waiver.

Title Type
Case Managment | Roles of Provider Case Manager and Direct Care Supervisor PPT



Priority for Waiver Services

Training material on who receives priority for a waiver slot highlighting that an individual residing in certain facilities receive priority and must not be discharged before waiver services are in place or priority will be lost along with an overview of the process of making application toward eventual transitioning of an individual from a facility to the waiver.

Title Type
Priority for Waiver Services PDF



Levels of Care

A PowerPoint presentation that identifies, defines and discusses the 3 levels of care that have relevance in the waiver.

File Type
Three Levels of Care for Waiver Services PPT



Pervasive Level Training

A PowerPoint presentation that provides insight on how Pervasive Level is defined, documented, requested and reviewed and approved by DDS.

Title Type
Pervasive Level Training PPT




A PowerPoint presentation that provides details on the "who, what, when, where and why" regarding placing a waiver case in abeyance.

Title Type
Abeyance Guidelines PPT



Pro-Rated Staff

The forms to disclose costs when individuals in the Waiver share staff.

Title Type
CES 110 Pro-Rated Staff Worksheets XLSX



Health and Safety Assurances

A PowerPoint presentation that discusses health and safety assurances from the CMS “big picture” to actual assessment and delivery of services. Also, a MS Word document that can be used to assess factors toward MAPS planning.

Title Type
Health and Safety Assurance PPT
Health and Safety Prescreening Tool PDF




Supported Employment

Supported Employment under the Waiver is the topic of the following PowerPoint presentation. It is useful information for providers seeking to become a Supported Employment provider, to individuals seeking the service under the Waiver and for DDS personnel.

Title Type
Supported Employment Provider Information PPT



Encrypted Email From DDS

A recent change to the DHS system allows for outgoing email containing sensitive information to be encrypted. Now DDS does not use WinZip to encrypt outgoing email nor does DDS maintain a password for email recipients.


PES/PAM Systems for PA’s

As of January 2009, providers can use Provider Electronic Solutions (PES) through EDS to request Prior Authorizations for Waiver Services. DDS will use Prior Authorization Manipulation (PAM) to approve the requests with PA’s issued within 20 minutes of approval. Below is a PowerPoint presentation on these systems and the process along with MS Word documents detailing provider and DDS processes.

Title Type
Prior Authorization Manipulation (PAM) and Provider Electronic Solutions (PES) Information​ PPT
Provider PES Process PDF
DDS Staff PAM Process PDF



Title Type Posted Date
Certified CES Waiver Provider List PDF 02/01/2018

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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