Apply for Respite Voucher

Apply for Respite Voucher

Arkansas Lifespan Respite Voucher Program

Through the federal Lifespan Respite Grant for Integrity & Sustainability (#90LRLI0045) awarded to Arkansas Department of Human Services- Division of Provider Services and Quality Assurance (DPSQA) by the Administration for Community Living (ACL), respite voucher are available for Arkansas caregivers. As of November 1, 2021, DPSQA will be accepting voucher applications through the Choices in Living Resource Center. Voucher funding is awarded on a first-come-first-serve basis or until funding runs out. An applicant may receive up to $300 quarterly, $1200 annually.

Information and Resources:

Overview of the Arkansas Lifespan Respite Voucher Program (updated 10/2021)

Arkansas Lifespan Respite Voucher Program FAQ (updated 11/2021)

Application and Forms:

Arkansas Lifespan Respite Voucher Application (updated 10/2021)

Arkansas Lifespan Respite Voucher Service Form- Documentation of Service Delivery (updated 10/2021)

Arkansas Lifespan Respite Voucher Satisfaction Survey (updated 10/2021)

W-9 Form (rev.10/2018)

DPSQA Address

700 Main Street Slot S-427
Little Rock, AR  72203-1437 

DPSQA Phone Number

501-682-2441

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