Provide Feedback

Provide Feedback

This form collects issues with the standards applicable to home and community-based providers that are regulated by the Arkansas DHS Division of Provider Services and Quality Assurance. The form is used to collect feedback on existing standards applicable to providers and what may need to be addressed in the future.

The form should not be used to report complaints about a provider, incidents or accidents related to a provider, adult or child maltreatment, or any other purpose.

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DPSQA Address

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

DPSQA Phone Number


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