Division of Aging, Adult, & Behavioral Health Services Archived Links

Division of Aging, Adult, & Behavioral Health Services Archived Links

Adult Maltreatment

Investigation File Requests may be found here.

DAABHS Policies

Arkansas Ombudsman Policies

Choices in Living Resource Center

Brochure (English)
Brochure (Spanish)

Forms

The following long-term services and supports application to determine financial eligibiity as well as home and community-based Medicaid waiver service descriptions are below:

ARChoices in Homecare

Money Follows the Person

Brochures

MFP Housing Brochure 2024
MFP Brochure March 2024

MFTP Forms

TitleTypePosted Date
Intense Transition Manager (ITM) ChecklistPDF05/14/2019
Important Notice FormPDF05/13/2019
24 Hour Contact Information FormPDF05/12/2019
DHS-4000 Release of Info Authorization – Spanish EditionPDF05/11/2019
DHS-4000 Authorized to Disclose Health Info-Release of Info FormPDF05/11/2019
DHS-8504 Start Service FormPDF05/10/2019
DHS-8505 Informed ConsentPDF05/09/2019
DHS-8506 MFP Assessment and Personal History FormPDF05/08/2019
DHS-8507 Checklist of Clients Rights FormPDF05/07/2019
DHS-8508 Statement of Rights & Responsibilities of MFP Participants FormPDF05/06/2019
DHS-8510 Demonstration Services Freedom of Choice FormPDF05/05/2019
DHS-8511 Transition Risk Plan FormPDF05/04/2019
DHS-8512 Risk Mitigation Monthly FormPDF05/03/2019
DHS-8520 General Professional Recommendations FormPDF05/02/2019
DHS-8521 Demonstration Services Plan of Care FormPDF05/01/2019
DHS-8523 Housing Information FormPDF04/30/2019
MediMaide Checklist (Need copy of Prescriptions) FormPDF04/29/2019
Consent to Discuss FormPDF04/28/2019
Tier Level Request FormPDF04/27/2019
Transition Goods and Services FormPDF04/26/2019

Find Home & Community Based Services for Adults & Seniors

Elderly Adult Care Services – English
Elderly Adult Care Services – Spanish