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Community Services Licensure and Certification

Provider Standards Feedback Form

This form collects issues with the standards applicable to home and community-based providers that are regulated by the Arkansas DHS Division of Provider Services and Quality Assurance. The form is used to collect feedback on existing standards applicable to providers and what may need to be addressed in the future.

The form should not be used to report complaints about a provider, incidents or accidents related to a provider, adult or child maltreatment, or any other purpose.

Title Type
Provider Standards Feedback Form WEB

Applications

Title Type
Adult Day Care (ADC) PDF
Adult Developmental Day Treatment (ADDT) PDF
Adult Day Health Care (ADHC) PDF
Assisted Living Facility (ALF) PDF
Early Intervention Day Treatment (EIDT) PDF
Independently Licensed Practitioner (ILP) PDF
Partial Hospitalization PDF
Post Acute Head Injury (PAHI) PDF
Residential Care Facility (RCF) PDF
Therapeutic Communities PDF


AR Choices 

Title Type
ARChoices Provider Certification Application PDF
Targeted Case Management Provider Application PDF
ARChoices Provider Certification Requirements PDF
New Applicant Instructions WEB

Alzheimer's Special Care Units

Alzheimer's Special Care Units (ASCU) are specialized units of long-term care facilities, such as nursing homes or assisted-living facilities, that offer services specifically for individuals with Alzheimer's Disease or related dementia.

Regulations for Alzheimer's Special Care Units are located in, and part of, the regulations for each type of facility that can house an Alzheimer's Special Care Unit.  Please download the regulations for a specific type of facility to see the Alzheimer's Special Care Unit regulations for that type of facility.

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


Substance Abuse

Title Type
   
   
Arkansas Department of Human Services
Arkansas Department of Human Services

Arkansas Department
of Human Services
(501) 682-1001

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

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