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Provider Resources

Adult Day Care

Title Type
ADC Application DOC
Email Sheet DOC
Instructions FY20 DOC
ADC Documention DOC
ADC Regulations PDF
ADC Licensure Requirements DOC
Administrator Information DOC

Adult Day Health Care

Title Type
ADHC Application DOC
Email Sheet DOC
Instructions FY20 DOC
ADHC Documention DOC
ADHC Regulations PDF
Administrator Information DOC

Assisted Living Facility 

Title Type
ALF Application PDF

Behavioral Health

Title Type
Application for Behavioral Health Agency Certification PDF
Application for Independently Licensed Practitioner  PDF
DBHS Acute Crisis Unit Certification PDF
DBHS Partial Hospitalization Certification PDF
DBHS Therapuetic Communities Certification PDF
DBHS Behavioral Health Agency Certification PDF
DHS Independently Licensed Practitioner Certification PDF
Residential Community Reintgration Certification Manual PDF

Early Intervention Day Treatment

Title Type
EIDT Appplication DOC
EIDT Check List DOC

 

Arkansas Department
of Human Services
(501) 682-1001

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

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