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DDS Forms & Documents

DDS Forms & Documents

Public Health Issues & Information

DDS COVID-19 Response Manual

Presentations

TitleMedia TypePosted Date
DDS ServicesPDF08/16/2019

Provider Directories

TitleMedia Type
Community and Employment Support (CES) Waiver Provider ListPDF
Early Intervention Day Treatment (EIDT) Provider Look UpLink
Adult Developmental Day Treatment (ADDT) Provider Look UpLink
Small – Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID)PDF
Large – Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID)PDF

Waivers

TitleMedia TypeEffective Date
Community and Employment Support (AR.0188)PDF03/01/2022
Provider-Led Arkansas Shared Savings Entity (AR.0007)PDF04/01/2022
Autism (AR.0936)PDF04/22/2020

Forms

TitleMedia TypeEffective Date
SSBG Application and Grant FundingPDF01/12/2010
CES Waiver Provider Application and InstructionsDOCX08/18/2021
Arkansas PASSE Incident ReportPDF05/24/2023
Social HistoryDOCX01/02/2018
Request for Criminal Record Check (DPSQA)PDF05/05/2023
Arkansas (AR) Child Maltreatment Registry Check FormWEB
Arkansas (AR) Adult Maltreatment Registry Check FormWEB 
Ombudsman Initial ContactPDF 

General Information

TitleMedia TypeEffective Date
CARF CrosswalkPDF07/09/2012
CDS General SupervisionPPTX02/19/2013
Child Maltreatment Background Check RequestWEB
Adult Maltreatment Background Check RequestWEB

DDS Reports

TitleMedia TypePosted Date
DDS Behavioral Consultation Committee Report SummaryPDF01/24/2023