Medicaid, ARHOME, and ARKids Beneficiaries

Watch for your renewal form, fill it out, and return it to Arkansas Medicaid right away to avoid losing Medicaid coverage if you are eligible.

DDS Forms & Documents

DDS Forms & Documents

Public Health Issues & Information

DDS COVID-19 Response Manual

Presentations

TitleTypePosted Date
DDS ServicesPDF08/16/2019

Directories

TitleTypeUpdated
Community and Employment Support (CES) Waiver Provider ListPDF05/19/2023
Community Support System Provider (CSSP) ListPDF05/04/2023
Early Intervention Day Treatment (EIDT) Provider ListPDF05/11/2023
Adult Developmental Day Treatment (ADDT) Provider ListPDF05/10/2023
Small – Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID): 1 to 15 BedsPDF05/12/2023
Large – Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID): 16 or More BedsPDF05/12/2023

Waivers

TitleTypeEffective Date
Community and Employment Support (AR.0188.R06.01)PDF03/01/2022
Provider-Led Arkansas Shared Savings Entity (AR.0007.R00.01)PDF03/01/2019
Autism (AR.0936.R01.01)PDF04/22/2020

Forms

TitleTypeEffective Date
CES Waiver Provider Application and InstructionsDOCX08/18/2021
Arkansas PASSE Incident ReportPDF05/24/2023
Social HistoryDOCX01/02/2018
REQUEST FOR CHILD MALTREATMENT CENTRAL REGISTRY CHECKWEB
AUTHORIZATION FOR ADULT MALTREATMENT CENTRAL REGISTRYPDF 
Request for Criminal Record Check (DPSQA)PDF05/05/2023
Ombudsman Initial ContactPDF 

General Information

TitleTypeEffective Date
CARF CrosswalkPDF07/09/2012
CDS General SupervisionPPTX02/19/2013

DDS Reports

TitleTypePosted Date
DDS Behavioral Consultation Committee Report SummaryPDF01/24/2023