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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

Online Provider Directories

TitleMedia Type
Early Intervention Day Treatment (EIDT) Provider – Home & Community Based Services; Provider Look Up, Using the Facility Type Dropdown ListLink
Adult Developmental Day Treatment (ADDT) Provider – Home & Community Based Services; Provider Look Up, Using the Facility Type Dropdown ListLink
Community Support Systems Provider (CSSP) – Home & Community Based Services; Provider Look Up, Using the Facility Type Dropdown ListLink
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) – Long-Term Care Services; Provider Look Up, Using Facility Type Dropdown ListLink

Waiver Approval Documents

TitleMedia Type
Community and Employment Support (AR.0188)PDF
Provider-Led Arkansas Shared Savings Entity (AR.0007)PDF
Autism (AR.0936)PDF

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 Strategic Plan 2024-2025PDF05/03/2024