These videos give an overview of the various Home and Community-Based Services (HCBS) available in Arkansas for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions in Arkansas. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers. Explore each section to find the service that best matches your goals or area of interest.
Respite Care Services
RESPITE CARE SERVICES PROVIDER IN ARKANSAS
GIVING FAMILY CAREGIVERS A BREAK WHILE ENSURING CONTINUITY OF SUPPORT FOR INDIVIDUALS WITH DISABILITIES OR CHRONIC CONDITIONS
Respite Care Services in Arkansas provide temporary relief to primary caregivers by offering short-term care for individuals with developmental disabilities, aging needs, or complex medical conditions. These services are authorized under the Arkansas Medicaid Waiver Programs and allow individuals to remain safely in their homes or community while their caregivers take time off.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves and monitors service providers and ensures compliance with HCBS waiver program requirements
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Administers Medicaid funding and reimbursement for respite care
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures adherence to Medicaid waiver guidelines
2. RESPITE CARE SERVICE OVERVIEW
Respite services provide temporary supervision and support for individuals who normally receive ongoing care from family or unpaid caregivers. Services can be provided in the individual’s home or a community setting and may occur during the day, evenings, weekends, or overnight.
Approved providers may deliver:
In-home care during planned or emergency caregiver absences
Supervision and assistance with daily living activities
Personal care tasks such as bathing, dressing, or mobility support
Social and recreational engagement during respite hours
Coordination with family members and support staff
Documentation of services delivered and any changes in condition
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Complete provider enrollment through Arkansas Medicaid
Submit an application to become a provider with the Division of Developmental Disabilities Services (DDS)
Maintain liability insurance and secure service documentation systems
Ensure all staff meet required background checks and training
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply through the Arkansas Provider Enrollment Portal
Submit organizational documents, ownership disclosure, and electronic funds transfer (EFT) info
Select appropriate provider type and service specialties (Respite Care under HCBS)
Step 2: DDS Waiver Service Approval
Complete and submit the HCBS Waiver Provider Packet
Include policy manual, staffing plan, and training documentation
Participate in a readiness review if requested
Step 3: Approval and Billing Setup
Receive provider number and begin claims setup through Medicaid billing system
Coordinate with support coordinators for client referrals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid provider enrollment approval
DDS waiver provider application and agreement
Policy & procedure manual including:
Intake and referral process
Daily documentation and client care logs
Staff credentialing, supervision, and emergency contacts
Participant rights, informed consent, and HIPAA compliance
Incident reporting and grievance procedures
Caregiver relief coordination and scheduling
Service tracking and billing templates
6. STAFFING REQUIREMENTS
Role: Respite Care Coordinator / Program Supervisor
Requirements: Experience in human services or disability care; supervisory background preferred
Role: Direct Care Staff / Respite Aide
Requirements:
High school diploma or GED
CPR/First Aid certification
Background check and Adult/Child Maltreatment Registry clearance
Knowledge of supporting individuals with disabilities or chronic health conditions
Training Requirements for All Staff:
Person-centered care practices
Emergency response and documentation
Abuse prevention and reporting
Annual refreshers on ethics, safety, and client interaction
7. MEDICAID WAIVER SERVICES
Respite Care Services are authorized under the following Arkansas Medicaid Waiver Programs:
Community and Employment Supports (CES) Waiver
Arkansas Independent Choices Program
Living Choices Assisted Living Waiver
ARChoices in Homecare Waiver
Approved providers may deliver:
Temporary care to relieve unpaid caregivers
Scheduled or emergency in-home support
Assistance with activities of daily living (ADLs)
Support documentation and coordination with case managers
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Enrollment & Provider Application
Timeline: 45–90 days
Phase: DDS Waiver Provider Approval
Timeline: 30–60 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS RESPITE CARE SERVICES PROVIDER
We guide new providers through the full process of launching Medicaid-compliant Respite Care Services under Arkansas’s HCBS Waiver Programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
Arkansas Medicaid enrollment and provider portal setup
DDS waiver application support and documentation
Policy & procedure manual for respite care operations
Templates for staff training, incident logs, and care plans
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with case managers and local agencies
Residential Care Services
RESIDENTIAL CARE SERVICES PROVIDER IN ARKANSAS
OFFERING SUPPORTIVE, COMMUNITY-BASED LIVING OPTIONS FOR INDIVIDUALS WITH DISABILITIES AND CHRONIC CONDITIONS
Residential Care Services in Arkansas provide individuals with disabilities, chronic illnesses, or age-related needs with a structured, supportive living environment. These services are authorized under Arkansas’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are designed to promote independence, dignity, and community integration while ensuring safety and quality of life.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Aging, Adult, and Behavioral Health Services (DAABHS)
Role: Approves and monitors Residential Care Facilities (RCFs) and ensures compliance with HCBS standards
Agency: Arkansas Department of Human Services (DHS) – Office of Long Term Care (OLTC)
Role: Licenses Residential Care Facilities and monitors health and safety standards
Agency: Arkansas Medicaid (under DHS)
Role: Oversees Medicaid enrollment, reimbursement, and service delivery for Residential Care Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded services meet HCBS rules and person-centered requirements
2. RESIDENTIAL CARE SERVICE OVERVIEW
Residential Care Services support individuals who need assistance with daily living activities but do not require the intensive medical care provided in nursing facilities. Services are delivered in licensed community settings that promote a home-like environment.
Approved providers may deliver:
Assistance with Activities of Daily Living (ADLs), including bathing, dressing, toileting, and mobility
Support with Instrumental Activities of Daily Living (IADLs) such as meal preparation, housekeeping, and laundry
Medication assistance and health monitoring (as permitted by regulations)
24-hour supervision and safety monitoring
Structured recreational and social activities
Nutritional support with daily meals and snacks
Transportation assistance to appointments and community activities
All services must be individualized through person-centered service plans and support the individual’s goals for autonomy and inclusion.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain a Residential Care Facility license from the Arkansas Office of Long Term Care (OLTC)
Secure liability insurance and meet fire safety, sanitation, and building code requirements
Maintain policies and procedures compliant with Arkansas residential care regulations
Ensure appropriate staff-to-resident ratios and staff training on personal care and resident rights
4. DHS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Residential Care Services provider application packet from DHS or OLTC
Attend recommended provider orientation sessions
Application and Documentation Submission:
Submit Residential Care Facility license, staffing plans, emergency procedures, and sample service agreements
Provide documentation of staff qualifications, background checks, and training programs
Include resident intake forms, person-centered planning templates, and safety protocols
Program Readiness Review:
DHS/OLTC review the facility’s compliance with safety and service standards
May conduct on-site inspections prior to Medicaid approval
Evaluation of staffing models, client documentation, and emergency preparedness plans
Approval & Medicaid Enrollment:
After state approval, enroll with Arkansas Medicaid as a Residential Care Services provider
Complete billing and claims configuration through the Medicaid portal
Set up service authorization tracking and documentation systems
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Residential Care Facility license
Proof of compliance with building codes, fire safety inspections, and health regulations
Policy & Procedure Manual including:
Resident intake and person-centered service planning
ADL/IADL support protocols
Medication assistance and health monitoring procedures
Resident rights, privacy protections, and grievance policies
Emergency evacuation and disaster preparedness plans
Staff background checks, credentialing records, and training logs
Incident reporting, infection control, and quality assurance tracking
Medicaid billing and service logging procedures
6. STAFFING REQUIREMENTS
Role: Facility Administrator
Requirements: Experience managing residential care or health service facilities, background check clearance, and required administrator training
Role: Direct Care Staff / Personal Care Aides
Requirements: High school diploma or GED recommended; CPR/First Aid certification; background check clearance
Role: Medication Assistant (optional if providing medication administration)
Requirements: Completion of a Medication Assistant Program and state certification
All staff must complete:
Orientation on resident rights, elder abuse prevention, and person-centered practices
Emergency response and safety training
Confidentiality and HIPAA compliance training
Ongoing annual in-service training and competency reviews
7. MEDICAID WAIVER SERVICES
The following Arkansas Medicaid Waivers authorize Residential Care Services:
ARChoices in Homecare Waiver
Living Choices Assisted Living Waiver (for individuals requiring more structured residential services)
Approved providers may deliver:
Supportive residential living services focused on ADLs and IADLs
24/7 supervision and safety monitoring
Structured socialization and recreational activities
Health monitoring and medication support
8. TIMELINE TO LAUNCH
Phase: Business Formation and Facility Licensing Preparation
Timeline: 2–4 weeks
Phase: OLTC Licensing Inspections and Approvals
Timeline: 60–90 days
Phase: Staff Hiring, Training, and Documentation Readiness
Timeline: 30–45 days
Phase: Medicaid Enrollment and Claims Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Aging, Adult, and Behavioral Health Services (DAABHS)
Website: https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-and-behavioral-health-services/
Arkansas Office of Long Term Care (OLTC)
Website: https://humanservices.arkansas.gov/divisions-shared-services/office-of-long-term-care/
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov/ARMedicaid/Provider
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARKANSAS RESIDENTIAL CARE SERVICES PROVIDER
WCG helps providers and entrepreneurs launch Medicaid-compliant Residential Care Services under Arkansas’s HCBS Waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
OLTC licensing guidance and inspection preparation
DHS application and Medicaid documentation support
Development of Residential Care Policy & Procedure Manual
Staff credentialing and resident intake templates
Medicaid billing and claims system setup
Website, domain, and email setup
Resident admission and service planning packets
Emergency preparedness and quality assurance templates
Referral development and community partnership strategies
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN ARKANSAS
EMPOWERING INDIVIDUALS WITH DISABILITIES TO ACHIEVE MEANINGFUL WORK THROUGH INDIVIDUALIZED, COMMUNITY-BASED EMPLOYMENT SUPPORTS
Supported Employment Services in Arkansas assist individuals with developmental disabilities in obtaining and maintaining competitive, integrated employment. These services are offered under the Community and Employment Supports (CES) Waiver through the Arkansas Department of Human Services (DHS) and aim to help individuals gain greater independence, financial stability, and self-confidence through job coaching, skills training, and workplace support.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves and monitors Supported Employment providers and ensures service alignment with CES Waiver goals
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Oversees Medicaid reimbursement for Supported Employment services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with HCBS Final Rule and employment-first principles
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment Services are designed to help individuals prepare for, find, and sustain competitive employment in the general workforce. Services are person-centered and may take place in a variety of community settings, including individual workplaces or enclaves.
Approved providers may deliver:
Job development and employer outreach
Job coaching and on-the-job training
Interview preparation and resume building
Benefits counseling and workplace accommodations assistance
Transportation training or coordination (as a support service)
Ongoing support to sustain employment success
Documentation of employment progress and ISP goals
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a CES Waiver provider through the DDS Provider Application
Complete Medicaid provider enrollment via the Arkansas Medicaid Portal
Maintain general liability insurance
Develop written employment service policies and procedures
Hire qualified employment specialists and job coaches
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply via the Arkansas Medicaid Provider Portal
Select Supported Employment under CES Waiver services
Submit required forms, NPI, tax documentation, and EFT setup
Step 2: DDS CES Waiver Provider Application
Submit policies for job coaching, data collection, and employer engagement
Include staff training logs and proposed service delivery model
Step 3: Approval and Referrals
Upon approval, begin receiving referrals from DDS case managers and transition coordinators
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid and CES Waiver provider approval
Policy & procedure manual including:
Job development and employer partnership guidelines
Client intake and employment goal assessment forms
Individual support plans (ISPs) and service documentation logs
Progress tracking and retention reports
Staff training, background checks, and supervision logs
Workplace safety and disability accommodation procedures
Billing documentation and timesheet verification
Incident reporting and emergency procedures
6. STAFFING REQUIREMENTS
Role: Employment Specialist / Job Developer
Requirements: Experience in vocational rehabilitation, human services, or job coaching; knowledge of employer engagement and labor market trends
Role: Job Coach / Support Professional
Requirements:
High school diploma or GED
Completion of employment support or disability services training
Background check and registry clearance
CPR/First Aid and safety training
Training Requirements for All Staff:
Person-centered employment planning
Disability awareness and workplace inclusion
Documentation and progress reporting
Ethics, safety, and confidentiality protocols
Annual continuing education in employment services
7. MEDICAID WAIVER SERVICES
Supported Employment Services are available under:
Community and Employment Supports (CES) Waiver
Approved providers may deliver:
Individualized support to obtain and maintain employment
Coordination with employers, transition counselors, and DDS case managers
On-site coaching and off-site monitoring
Documentation aligned with the individual’s ISP and work goals
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Enrollment & CES Waiver Provider Application
Timeline: 45–90 days
Phase: Staff Hiring and Credentialing
Timeline: 30–45 days
Phase: Service Readiness and Referral Outreach
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS SUPPORTED EMPLOYMENT SERVICES PROVIDER
We help agencies launch community-focused Supported Employment Services under Arkansas’s CES Waiver, empowering individuals with disabilities to thrive in the workforce.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDS CES Waiver provider application support
Medicaid enrollment and billing setup
Policy & procedure manual for job development and coaching
Templates for job logs, employer contact forms, and progress tracking
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with VR counselors, schools, and employers
Personal Care Services
PERSONAL CARE SERVICES PROVIDER IN ARKANSAS
SUPPORTING DAILY LIVING THROUGH IN-HOME ASSISTANCE FOR INDIVIDUALS WITH DISABILITIES, CHRONIC CONDITIONS, OR AGE-RELATED NEEDS
Personal Care Services in Arkansas provide non-medical, hands-on assistance with daily living activities for individuals who are elderly, physically disabled, or have developmental conditions. These services are authorized under the Arkansas Medicaid State Plan and certain Home and Community-Based Services (HCBS) Waiver programs. The goal is to help individuals remain safely in their homes and prevent institutionalization.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Office of Long Term Care (OLTC)
Role: Regulates personal care agencies and monitors service compliance
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Handles Medicaid enrollment and reimbursement for personal care services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of Medicaid-funded personal care programs
2. PERSONAL CARE SERVICE OVERVIEW
Personal Care Services offer in-home support to help individuals manage everyday tasks they are unable to perform independently due to health conditions or disabilities. Services are tailored to individual needs and may be provided intermittently or on a regular schedule.
Approved providers may deliver:
Assistance with bathing, grooming, and dressing
Toileting and incontinence care
Mobility assistance (e.g., walking, transferring, positioning)
Meal preparation and feeding
Basic housekeeping tasks essential to health
Medication reminders (non-administration)
Monitoring of general well-being and reporting of changes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for a Home Care Agency License through the Arkansas Department of Health
Complete the Medicaid provider enrollment process
Hire qualified personal care aides and clinical supervisors
Maintain general liability and worker’s compensation insurance
Develop compliant documentation and tracking systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Licensing through Arkansas Department of Health (ADH)
Apply for a home care agency license
Submit policies, staff roster, infection control procedures, and training program
Pass on-site inspection and administrative review
Step 2: Medicaid Enrollment
Apply via the Arkansas Medicaid Provider Portal
Submit required documentation and provider agreements
Receive approval and provider number
Step 3: Referral Coordination
Connect with case managers or local Area Agencies on Aging (AAAs) to begin receiving client authorizations
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Home care agency license
Medicaid enrollment documentation
Policy & procedure manual including:
Intake and assessment process
ADL support documentation
Care plan implementation and progress tracking
Staff hiring, training, and supervision logs
Participant rights and confidentiality policies
Incident reporting and grievance handling
Quality assurance and supervisory visit forms
Billing logs and timesheet verification procedures
6. STAFFING REQUIREMENTS
Role: Personal Care Supervisor (RN or LPN)
Requirements: Licensed in Arkansas, responsible for training, client assessments, and supervision
Role: Personal Care Aide (PCA)
Requirements:
High school diploma or equivalent
Completion of DHS-approved PCA training
CPR/First Aid certification
Background check and registry clearance
Training Requirements for All Staff:
ADL assistance and client safety protocols
Infection control and proper lifting techniques
Confidentiality, abuse prevention, and mandatory reporting
Annual skills review and continuing education
7. MEDICAID WAIVER SERVICES
Personal Care Services are available under:
Arkansas Medicaid State Plan Personal Care Program
ARChoices in Homecare Waiver
Independent Choices Program
Community and Employment Supports (CES) Waiver (in conjunction with other supports)
Approved providers may deliver:
Hands-on assistance with activities of daily living
In-home support to prevent institutional placement
Client monitoring and documentation
Coordination with care managers and families
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Licensing Application and Inspection (ADH)
Timeline: 60–90 days
Phase: Medicaid Enrollment and System Setup
Timeline: 30–60 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
9. CONTACT INFORMATION
Arkansas Department of Health – Home Health & Personal Care Licensing
Phone: (501) 661-2201
Website: https://www.healthy.arkansas.gov
Arkansas Department of Human Services – Division of Medical Services (DMS)
Email: ask.medicaid@arkansas.gov
Website: https://humanservices.arkansas.gov/about-dhs/dms
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS PERSONAL CARE SERVICES PROVIDER
We help entrepreneurs and home care agencies launch fully licensed and Medicaid-compliant Personal Care Services in Arkansas.
Scope of Work:
Business registration (LLC, EIN, NPI)
Home care agency license application and inspection prep
Arkansas Medicaid enrollment and billing setup
Policy & procedure manual for personal care and supervision
Templates for care plans, timesheets, and visit verification
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with case managers, AAAs, and hospitals
Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN ARKANSAS
SUPPORTING INDEPENDENCE THROUGH CUSTOMIZED EQUIPMENT THAT MEETS THE UNIQUE NEEDS OF INDIVIDUALS WITH DISABILITIES
Adaptive Equipment Services in Arkansas are designed to help individuals with developmental disabilities acquire and use specialized equipment that enhances mobility, safety, communication, and daily living. These services are covered under the Community and Employment Supports (CES) Waiver and must be medically necessary and linked to the participant’s Individualized Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Authorizes Adaptive Equipment Services under the CES Waiver and monitors provider compliance
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Handles Medicaid enrollment and reimbursement for adaptive equipment services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures HCBS waiver compliance with person-centered service delivery
2. ADAPTIVE EQUIPMENT SERVICE OVERVIEW
Adaptive Equipment Services include the assessment, acquisition, customization, and maintenance of items that support functional independence. These items must directly relate to the individual’s diagnosed disability and be required to maintain or improve their quality of life.
Approved providers may deliver:
Assessments to determine appropriate adaptive equipment
Purchase and delivery of authorized items
Assembly, setup, and demonstration of equipment
Staff and caregiver training on use and safety
Repair, maintenance, and replacement services
Documentation of purchases, installation, and training
Examples of adaptive equipment include:
Wheelchairs and seating supports
Standing frames and gait trainers
Augmentative communication devices
Adaptive utensils or electronic aids for daily living
Sensory integration tools
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply through the DDS CES Waiver Provider Application
Enroll as a provider through the Arkansas Medicaid Portal
Maintain liability insurance and inventory control systems
Hire or subcontract professionals (e.g., OT/PT, AT specialists) to support assessments and installation
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply through the Arkansas Medicaid Provider Portal
Submit documentation for NPI, tax ID, EFT setup, and business structure
Select Adaptive Equipment Services under CES Waiver provider types
Step 2: DDS CES Waiver Provider Application
Submit policy manual, service delivery model, and staff qualifications
Include sample documentation forms for assessments, delivery, and caregiver training
Step 3: Approval and ISP Coordination
Upon approval, receive referrals through DDS Support Coordinators for equipment requests tied to ISP goals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid and CES Waiver approval
Policy & procedure manual including:
Eligibility and assessment processes
Purchase authorization and vendor management
Delivery, installation, and user training workflows
Equipment maintenance and warranty tracking
Documentation templates for service logs and inventory
Staff qualifications and supervision plans
Participant rights, consent forms, and HIPAA policies
Incident reporting, safety checks, and audit preparedness
6. STAFFING REQUIREMENTS
Role: Adaptive Equipment Specialist / Program Supervisor
Requirements: Background in occupational therapy, physical therapy, assistive technology, or medical equipment coordination
Role: Delivery Technician / Equipment Setup Staff
Requirements:
Experience with medical or adaptive equipment
Background check and basic safety training
Communication skills for client and caregiver instruction
Training Requirements for All Staff:
ADA compliance and device safety
Installation, troubleshooting, and user education
Documentation, HIPAA, and participant rights
Annual training in risk management and new technologies
7. MEDICAID WAIVER SERVICES
Adaptive Equipment Services are authorized under:
Community and Employment Supports (CES) Waiver
ARChoices in Homecare Waiver (when equipment is approved as a support)
Approved providers may deliver:
Equipment procurement and setup
Maintenance and user training
Documentation of outcomes and service effectiveness
Coordination with case managers and interdisciplinary teams
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid and CES Waiver Enrollment
Timeline: 45–90 days
Phase: Staffing and Vendor Network Development
Timeline: 30–45 days
Phase: Referral Setup and Service Readiness
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS ADAPTIVE EQUIPMENT SERVICES PROVIDER
We help assistive technology providers and equipment suppliers launch Adaptive Equipment Services that are Medicaid-compliant under Arkansas’s CES Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
CES Waiver and Medicaid enrollment support
Policy & procedure manual for adaptive equipment delivery and tracking
Templates for assessments, purchase logs, and training documentation
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with OTs, PTs, support coordinators, and family caregivers
Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN ARKANSAS
DELIVERING PROFESSIONAL MEDICAL CARE TO SUPPORT HEALTH, INDEPENDENCE, AND COMMUNITY LIVING FOR INDIVIDUALS WITH COMPLEX NEEDS
Skilled Nursing Services in Arkansas are designed for individuals with medical needs that require the expertise of licensed nurses but can be safely provided in home or community-based settings. These services are authorized under Arkansas’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are intended to prevent unnecessary hospitalization or institutionalization by supporting individuals' health in the least restrictive environment.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Aging, Adult, and Behavioral Health Services (DAABHS)
Role: Approves Skilled Nursing providers, monitors clinical service delivery, and enforces HCBS waiver compliance
Agency: Arkansas Medicaid (under DHS)
Role: Oversees Medicaid provider enrollment, service authorizations, and reimbursement for Skilled Nursing Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid compliance with HCBS person-centered care regulations
2. SKILLED NURSING SERVICE OVERVIEW
Skilled Nursing Services involve the provision of professional nursing care ordered by a physician and delivered according to an individualized service plan.
Approved providers may deliver:
Medication administration and management
Wound care and dressing changes
Catheter care and maintenance
Ostomy care
Respiratory treatments (e.g., nebulizers, oxygen management)
Tube feeding (enteral nutrition) and suctioning
Health status monitoring and chronic disease management
Coordination of care with physicians, therapists, and caregivers
Health education for individuals and family members
All services must be provided by a Licensed Practical Nurse (LPN) or Registered Nurse (RN) and documented according to Medicaid and DHS standards.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Maintain an active nursing services agency license if required (for agencies employing multiple nurses)
Employ licensed nurses (RN or LPN) with active Arkansas licenses
Secure malpractice insurance and worker’s compensation coverage
Develop clinical policies and protocols for skilled nursing tasks and emergency response
4. DHS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Skilled Nursing Services application packet from DAABHS
Attend waiver provider orientation (recommended)
Application and Documentation Submission:
Submit agency organizational documents, staff licenses, and scope of skilled services
Provide sample clinical documentation forms, medication logs, and emergency response protocols
Include background check documentation and staff training plans
Program Readiness Review:
DHS reviews clinical documentation processes, staff qualifications, and nursing protocols
May request proof of malpractice insurance and professional supervision plans
Evaluates participant intake procedures and coordination with healthcare providers
Approval & Medicaid Enrollment:
After DHS approval, enroll with Arkansas Medicaid via the Medicaid Provider Enrollment Portal
Select appropriate billing codes for Skilled Nursing Services under applicable HCBS programs
Complete Medicaid agreements and billing system configuration
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Nursing licenses (RN/LPN) and agency liability insurance
DHS-Compliant Policy & Procedure Manual including:
Participant intake, assessment, and care planning protocols
Medication administration procedures
Wound care, respiratory care, and catheter care policies
Incident reporting and emergency response procedures
Client rights, privacy policies, and HIPAA compliance measures
Staff background checks, training logs, and professional development records
Quality assurance tracking and clinical supervision plans
Medicaid billing, scheduling, and documentation systems
6. STAFFING REQUIREMENTS
Role: Skilled Nursing Supervisor (RN)
Requirements: Active RN license, supervisory experience in Medicaid home care or clinical services
Role: Skilled Nurse (LPN or RN)
Requirements: Current Arkansas nursing license, CPR certification, background check clearance
All staff must complete:
HCBS waiver orientation and Medicaid documentation training
Emergency response, infection control, and patient safety training
Confidentiality, abuse prevention, and client rights training
Annual continuing education and clinical skills updates
7. MEDICAID WAIVER SERVICES
The following Arkansas Medicaid Waivers authorize Skilled Nursing Services:
ARChoices in Homecare Waiver
Community and Employment Supports (CES) Waiver
Living Choices Assisted Living Waiver
Alternatives for Adults with Physical Disabilities (AAPD) Waiver
Approved providers may deliver:
In-home skilled nursing visits
Intermittent medical monitoring and treatments
Care coordination with waiver case managers and healthcare teams
Documentation of clinical services and progress per person-centered plans
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Compliance
Timeline: 2–3 weeks
Phase: DHS Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Training, and Clinical Systems Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and MMIS Billing Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Aging, Adult, and Behavioral Health Services (DAABHS)
Email: DAABHS.ProviderEnrollment@arkansas.gov
Phone: (501) 686-9164
Website: https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-and-behavioral-health-services/
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov/ARMedicaid/Provider
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARKANSAS SKILLED NURSING SERVICES PROVIDER
WCG helps nurses and healthcare entrepreneurs establish Medicaid-compliant Skilled Nursing Services under Arkansas’s HCBS Waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DHS Skilled Nursing application and documentation support
Development of Skilled Nursing Policy & Procedure Manual
Staff credentialing templates and clinical documentation systems
Medicaid enrollment and claims configuration assistance
Website, domain, and email setup
Client intake packet and nursing care planning templates
Staff training materials and emergency preparedness guides
Quality assurance tracking systems and incident reporting templates
Referral networking and healthcare provider relationship strategies
Habilitation Services
HABILITATION SERVICES PROVIDER IN ARKANSAS
TEACHING SKILLS FOR DAILY LIVING AND COMMUNITY PARTICIPATION TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Habilitation Services in Arkansas are designed to support individuals with developmental disabilities in learning or maintaining skills essential for daily living, independence, and inclusion in their community. These services are available through the Community and Employment Supports (CES) Waiver under the Arkansas Medicaid system and focus on individualized, person-centered skill development.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves providers, monitors compliance, and coordinates Habilitation Services through CES Waiver
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Handles Medicaid provider enrollment and claims processing for habilitation services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with HCBS waiver service delivery and community integration standards
2. HABILITATION SERVICE OVERVIEW
Habilitation Services help individuals build skills related to self-care, safety, communication, behavior management, and community involvement. These services are delivered in the home or community and are tailored to each participant’s goals outlined in their Individualized Service Plan (ISP).
Approved providers may deliver:
Skill-building activities in areas such as grooming, meal preparation, money management, and using public transportation
Socialization and community engagement coaching
Behavioral support and redirection techniques
Supervision and safety support in home and community environments
Documentation of skill progression and ISP goal achievement
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply through the DDS CES Waiver Provider Application
Complete Arkansas Medicaid enrollment through the online portal
Carry general liability insurance and implement incident tracking systems
Hire and train direct support staff with experience in developmental disability services
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply through the Arkansas Medicaid Provider Portal
Submit required documents including license, EFT form, and W-9
Select habilitation services under CES Waiver provider type
Step 2: DDS CES Waiver Application
Submit service delivery plan, training protocols, and sample documentation forms
Ensure alignment with person-centered planning and HCBS rules
Step 3: Approval and Referrals
Upon approval, providers will begin receiving service referrals from DDS case managers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
CES Waiver provider approval
Medicaid enrollment documentation
Policy & procedure manual including:
Skill-building activity outlines and service schedules
Safety and supervision procedures
Staff training and onboarding logs
HIPAA and client confidentiality policies
Participant rights and consent forms
ISP goal tracking and progress documentation
Incident reporting and grievance resolution protocol
Billing and time tracking tools
6. STAFFING REQUIREMENTS
Role: Habilitation Services Supervisor / Program Manager
Requirements: Experience in developmental disability support and supervision of community-based services
Role: Direct Support Professional (DSP)
Requirements:
High school diploma or GED
CPR/First Aid certification
Completion of DDS-approved training program
Background check and Adult/Child Maltreatment Registry clearance
Training Requirements for All Staff:
Person-centered service delivery
Daily documentation and ISP implementation
Behavior management and redirection strategies
Annual refreshers on safety, ethics, and incident reporting
7. MEDICAID WAIVER SERVICES
Habilitation Services are authorized under:
Community and Employment Supports (CES) Waiver
Approved providers may deliver:
In-home and community-based habilitation activities
Support to teach, retain, and improve life skills
Supervision and coaching for social and safety skills
Documentation aligned with individualized service goals
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Enrollment & CES Waiver Application
Timeline: 45–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Referral Setup and Service Launch
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS HABILITATION SERVICES PROVIDER
We support providers in launching fully compliant Habilitation Services under the Arkansas CES Waiver, from licensing and staff training to documentation and referrals.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDS CES Waiver application and Medicaid enrollment support
Policy & procedure manual for habilitation services and ISP tracking
Templates for skill assessments, progress notes, and daily logs
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with case managers and support coordinators
Adult Day Health Services
ADULT DAY HEALTH SERVICES PROVIDER IN ARKANSAS
DELIVERING DAYTIME SUPPORT, HEALTH MONITORING, AND COMMUNITY ENGAGEMENT FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES
Adult Day Health Services in Arkansas provide a safe, structured environment during daytime hours for individuals who need health monitoring, personal care, and social activities but do not require 24-hour institutional care. These services are offered under the Arkansas Medicaid Waiver Programs, helping individuals maintain independence and remain in their homes while providing relief to family caregivers.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Aging, Adult, and Behavioral Health Services
Role: Regulates Adult Day Health programs and ensures compliance with service delivery standards
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Administers Medicaid funding, reimbursement, and enrollment for adult day health providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for HCBS waiver services, including adult day health care
2. ADULT DAY HEALTH SERVICE OVERVIEW
Adult Day Health Services provide comprehensive daytime care, offering a mix of health supervision, personal assistance, therapeutic activities, and nutrition services in a group setting. The services promote mental, physical, and social well-being.
Approved providers may deliver:
Nursing care and health monitoring by licensed staff
Medication administration and vital sign checks
Assistance with ADLs, including toileting, eating, and mobility
Nutritional meals and snacks, with dietary modifications
Recreational and social activities
Physical, occupational, or speech therapies (if applicable)
Transportation coordination (if provided or arranged)
Daily documentation of care and progress
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for Adult Day Health program licensure through DHS
Comply with state fire marshal and health inspections
Complete Arkansas Medicaid provider enrollment
Hire qualified nursing and direct care staff
Develop structured daily schedules and care protocols
4. PROVIDER ENROLLMENT PROCESS
Step 1: DHS Adult Day Health Licensure
Submit program application, staffing model, and policies
Prepare for onsite inspection covering safety, nutrition, staffing, and medical protocols
Receive license approval and service authorization
Step 2: Medicaid Provider Enrollment
Apply through the Arkansas Medicaid Provider Enrollment Portal
Submit facility license, NPI, staffing details, and EFT info
Receive Medicaid provider number and billing setup instructions
Step 3: Referral Partnerships
Coordinate with case managers, hospitals, and Area Agencies on Aging (AAAs) to begin accepting clients
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Adult Day Health program license
Medicaid enrollment confirmation
Policy & procedure manual including:
Participant intake and care plan development
Medication administration and health monitoring protocols
Emergency response plans and safety drills
Daily activity schedules and staff-to-participant ratios
Infection control and food safety procedures
Client rights, consent forms, and grievance policies
Transportation logs (if applicable)
Billing, attendance tracking, and service documentation
6. STAFFING REQUIREMENTS
Role: Program Director / Administrator
Requirements: Experience managing adult day services or healthcare programs
Role: Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Requirements: Valid Arkansas license, CPR certification, experience in geriatrics or disability care
Role: Direct Care Worker / Program Aide
Requirements:
High school diploma or GED
Completion of caregiver or CNA training
Background check and adult/child maltreatment clearance
Training Requirements for All Staff:
ADL assistance, fall prevention, and elder care techniques
Medication handling and infection control
Documentation and client interaction protocols
Annual skills reviews and emergency preparedness drills
7. MEDICAID WAIVER SERVICES
Adult Day Health Services are authorized under:
ARChoices in Homecare Waiver
Living Choices Assisted Living Waiver
Independent Choices Program (for respite referrals)
State Plan Personal Care (if coordinated with day services)
Approved providers may deliver:
Full-day or part-day structured care
Health and social support services in a center-based setting
Care plan updates and interdisciplinary collaboration
Transportation assistance as part of the daily plan (if applicable)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Program License Application & Site Approval
Timeline: 60–90 days
Phase: Medicaid Enrollment & Claims Setup
Timeline: 30–60 days
Phase: Staff Hiring, Training & Program Scheduling
Timeline: 30–45 days
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Aging, Adult, and Behavioral Health Services
Phone: (501) 686-9164
Website: https://humanservices.arkansas.gov/about-dhs/daabhs
Arkansas Department of Health – Facility Services & Licensing
Phone: (501) 661-2201
Website: https://www.healthy.arkansas.gov
Arkansas Medicaid Provider Enrollment
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS ADULT DAY HEALTH SERVICES PROVIDER
We help agencies plan, launch, and license Adult Day Health programs that are Medicaid-compliant and community-centered in Arkansas.
Scope of Work:
Business registration (LLC, EIN, NPI)
Adult Day Health program licensure and inspection prep
Medicaid enrollment and billing setup
Policy & procedure manual for nursing, ADLs, and activity programming
Templates for care plans, medication logs, and staff checklists
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with AAAs, hospitals, and community case managers
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN ARKANSAS
ENABLING GREATER INDEPENDENCE THROUGH PERSONALIZED DEVICES AND EQUIPMENT FOR INDIVIDUALS WITH DISABILITIES
Assistive Technology (AT) Services in Arkansas help individuals with disabilities acquire, use, and maintain equipment and devices that enhance their ability to perform daily tasks, communicate, and participate in the community. These services are authorized under the Arkansas Community and Employment Supports (CES) Waiver and other Medicaid programs and are essential in promoting functional independence and accessibility.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves providers, authorizes services, and oversees implementation under the CES Waiver
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Administers Medicaid reimbursement and provider enrollment for AT services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of Medicaid and HCBS waiver compliance
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology Services involve the evaluation, selection, acquisition, customization, and maintenance of devices that assist individuals in achieving greater independence. Devices may be low-tech or high-tech and must be medically necessary and included in the person’s Individualized Service Plan (ISP).
Approved providers may deliver:
AT assessments and evaluations
Procurement and setup of approved devices and equipment
Device customization and configuration
Training for individuals, caregivers, and staff
Maintenance, troubleshooting, and repair of AT devices
Documentation of service delivery and impact on ISP goals
Examples of covered equipment may include:
Communication devices (AAC)
Mobility aids (e.g., walkers, electronic lifts)
Environmental controls (e.g., smart switches, alarms)
Sensory integration tools
Modified utensils or adaptive computer accessories
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply through the DDS CES Waiver Provider Application
Complete Medicaid provider enrollment via the Arkansas Medicaid Portal
Maintain liability insurance and device tracking systems
Hire staff or consultants with experience in occupational therapy, rehab technology, or AT delivery
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply through the Arkansas Medicaid Provider Portal
Select AT under CES Waiver services
Submit organizational documents, staff credentials, and EFT setup
Step 2: DDS CES Waiver Provider Application
Submit service delivery model, staff qualifications, and equipment procurement policies
Include documentation templates for device installation and consumer training
Step 3: Approval and ISP Coordination
Once approved, begin receiving referrals from support coordinators for ISP-authorized services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid provider enrollment confirmation
DDS CES Waiver provider approval
Policy & procedure manual including:
AT assessment and procurement workflows
Inventory and delivery tracking logs
Device training protocols for clients and caregivers
Warranty and repair management procedures
Documentation and billing templates
Consent, rights, and HIPAA compliance policies
Incident reporting and quality assurance measures
6. STAFFING REQUIREMENTS
Role: Assistive Technology Specialist / Coordinator
Requirements: Experience in rehabilitation, occupational therapy, or assistive technology; certification preferred
Role: Technician / Delivery & Setup Staff
Requirements:
Knowledge of AT devices and basic customization
Clean background check and understanding of client safety
Comfort with client interaction and in-home services
Training Requirements for All Staff:
AT device safety and sanitation
Client privacy and HIPAA standards
Documentation and equipment tracking
Annual updates on emerging technologies and compliance
7. MEDICAID WAIVER SERVICES
Assistive Technology Services are available under:
Community and Employment Supports (CES) Waiver
ARChoices in Homecare Waiver (limited use, as authorized)
Approved providers may deliver:
AT device selection, purchase, and installation
Client and caregiver training
Maintenance and troubleshooting
Documentation aligned with ISP outcomes
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Enrollment & CES Waiver Provider Application
Timeline: 45–90 days
Phase: Staff Hiring and Equipment Sourcing
Timeline: 30–45 days
Phase: Service Readiness and Referral Coordination
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS ASSISTIVE TECHNOLOGY SERVICES PROVIDER
We help organizations launch Medicaid-compliant Assistive Technology Services in Arkansas, from provider setup to service delivery and documentation.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDS CES Waiver application and Medicaid enrollment support
Policy & procedure manual for device delivery and training
Templates for assessments, delivery logs, and maintenance tracking
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with OT/PT providers, schools, and case managers
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN ARKANSAS
SUPPORTING MENTAL WELLNESS AND POSITIVE BEHAVIOR THROUGH COMMUNITY-BASED, PERSON-CENTERED INTERVENTIONS
Behavioral Health Services in Arkansas help individuals with developmental disabilities, mental health conditions, or co-occurring behavioral challenges manage their emotional and behavioral well-being. Services are delivered under Arkansas Medicaid, including the Community and Employment Supports (CES) Waiver, and focus on promoting independence, safety, and inclusion through therapeutic and behavioral support.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves and monitors CES Waiver providers delivering behavioral health and support services
Agency: Arkansas Department of Human Services – Division of Aging, Adult, and Behavioral Health Services (DAABHS)
Role: Regulates mental health facilities and providers delivering outpatient behavioral health services
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Handles Medicaid enrollment and payment for behavioral health services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures services meet federal Medicaid and HCBS waiver guidelines
2. BEHAVIORAL HEALTH SERVICE OVERVIEW
Behavioral Health Services under the CES Waiver support individuals in developing skills to manage their emotions, behaviors, and relationships. Services are customized to meet the goals outlined in each individual’s person-centered plan and may include therapy, coaching, and positive behavior interventions.
Approved providers may deliver:
Functional behavior assessments (FBAs)
Behavior support planning and implementation
Individual and group therapy (if licensed)
Crisis intervention and safety planning
Caregiver training in behavior strategies
Monitoring and documentation of progress and behavior outcomes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply through the DDS CES Waiver Provider Application
Complete Medicaid provider enrollment
If providing therapy, obtain licensure from the Arkansas Psychology Board, Social Work Licensing Board, or Counseling Board
Hire qualified behavior analysts, therapists, or mental health professionals
Maintain general and professional liability insurance
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply via the Arkansas Medicaid Provider Portal
Choose appropriate provider type (e.g., Behavioral Health Services, CES Waiver Provider)
Submit license, W-9, EFT info, and required documentation
Step 2: DDS CES Waiver Provider Application
Submit sample behavior plans, training outlines, and crisis protocols
Include staff licensure or credentials and documentation policies
Step 3: Approval and Service Coordination
Begin receiving referrals from DDS support coordinators once approved
Coordinate with families, schools, and interdisciplinary teams as needed
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Licensure or credentialing (e.g., BCBA, LPC, LCSW, Psychologist)
Medicaid and CES Waiver provider approval
Policy & procedure manual including:
Behavior assessment tools and planning templates
Behavior support implementation and training guides
Client rights, consent forms, and privacy policies
Crisis prevention and de-escalation protocols
Daily documentation, incident reports, and session notes
Staff supervision, CEUs, and credential tracking
Billing documentation and service tracking logs
6. STAFFING REQUIREMENTS
Role: Behavior Analyst / Clinical Supervisor
Requirements: Board Certified Behavior Analyst (BCBA), Licensed Psychologist, LCSW, LPC, or LMFT with experience in developmental disability services
Role: Behavior Technician / Direct Support Staff
Requirements:
High school diploma or GED
Completion of behavior support training
CPR/First Aid and crisis management training
Background check and registry clearance
Training Requirements for All Staff:
Positive behavior support techniques
Person-centered planning and communication strategies
Documentation, HIPAA, and ethics
Annual safety and emergency response updates
7. MEDICAID WAIVER SERVICES
Behavioral Health Services are available under:
Community and Employment Supports (CES) Waiver
Regular Medicaid Behavioral Health Programs
Children’s Behavioral Health and Early Intervention Programs
Approved providers may deliver:
Behavior intervention and caregiver support
Skills training in emotion regulation and social interaction
Community-based or in-home behavior support
Crisis response and therapeutic coaching
Therapy services (if licensed and authorized)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Enrollment & CES Waiver Provider Application
Timeline: 45–90 days
Phase: Licensing (if applicable)
Timeline: 30–60 days
Phase: Staff Hiring and Credentialing
Timeline: 30–45 days
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Department of Human Services – Division of Aging, Adult, and Behavioral Health Services
Phone: (501) 686-9164
Website: https://humanservices.arkansas.gov/about-dhs/daabhs
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS BEHAVIORAL HEALTH SERVICES PROVIDER
We help mental health professionals and support organizations launch Medicaid-compliant Behavioral Health Services under Arkansas’s CES Waiver and outpatient behavioral health system.
Scope of Work:
Business registration (LLC, EIN, NPI)
CES Waiver and Medicaid provider enrollment support
Policy & procedure manual for behavior plans, therapy, and documentation
Templates for assessments, service logs, and crisis protocols
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with DDS, school districts, and families
Home Modification
HOME MODIFICATIONS PROVIDER IN ARKANSAS
MAKING HOMES SAFER AND MORE ACCESSIBLE TO SUPPORT INDEPENDENT LIVING FOR INDIVIDUALS WITH DISABILITIES
Home Modifications in Arkansas are designed to help individuals with developmental disabilities remain in their own homes by making necessary structural changes that improve accessibility, safety, and functionality. These services are authorized under the Community and Employment Supports (CES) Waiver and must be linked to goals in the participant’s Individualized Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Authorizes and monitors home modification projects and certifies CES Waiver providers
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Processes provider enrollment and Medicaid reimbursement for approved modifications
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Oversees Medicaid waiver compliance for home and community-based accessibility supports
2. HOME MODIFICATION SERVICE OVERVIEW
Home Modifications include structural adaptations to a participant’s residence that are necessary to ensure the health, welfare, and safety of the individual or that enable greater independence. Modifications must be pre-approved, necessary, and not purely for aesthetic or convenience purposes.
Approved providers may deliver:
Wheelchair ramps and widened doorways
Roll-in showers, grab bars, and bathroom alterations
Lowered countertops or accessible cabinetry
Stair lifts, handrails, or platform lifts
Non-slip flooring or doorway threshold adjustments
Adaptations to lighting, alarm systems, or HVAC controls
Coordination with contractors, inspectors, and DDS
Documentation of all expenses and before/after photos
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply through the DDS CES Waiver Provider Application
Enroll as a provider through the Arkansas Medicaid Portal
Maintain general liability and property insurance
Have appropriate contractor licenses and bonding, if performing construction
Hire or subcontract qualified professionals (e.g., builders, electricians, plumbers)
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Register with Arkansas Medicaid via the Provider Portal
Submit license, tax documents, EFT, and W-9 information
Step 2: CES Waiver Provider Application (DDS)
Submit a detailed service description, budget procedures, and staff credentials
Provide sample documentation such as job cost estimates and approval tracking forms
Step 3: Final Approval and Referrals
Once approved, receive referrals through DDS case managers for ISP-authorized modifications
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Contractor license (if applicable)
Medicaid and CES Waiver provider approval
Policy & procedure manual including:
Pre-approval and scope of work forms
Client intake, consent, and service authorization procedures
Warranty and repair documentation
Before/after photo protocols
Financial tracking logs and vendor invoices
Project timelines, safety compliance, and inspection checklists
Staff/subcontractor background check and insurance documentation
6. STAFFING REQUIREMENTS
Role: Project Coordinator / Home Modification Supervisor
Requirements: Experience in residential construction, project management, or accessibility adaptations
Role: Licensed Contractor / Technician (if performing physical work)
Requirements:
Current Arkansas contractor license (as applicable)
Proof of bonding and liability insurance
ADA compliance knowledge preferred
Training Requirements for All Staff:
Home safety and accessibility standards
Documentation and approval workflows
HIPAA and confidentiality when entering client homes
Emergency procedures and risk mitigation
7. MEDICAID WAIVER SERVICES
Home Modifications are authorized under:
Community and Employment Supports (CES) Waiver
ARChoices in Homecare Waiver (as applicable and pre-authorized)
Approved providers may deliver:
One-time or episodic home accessibility adaptations
Consultation and project management services
Coordination with families, case managers, and inspectors
Full documentation of completed work, including cost breakdown
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid and CES Waiver Enrollment
Timeline: 45–90 days
Phase: Licensing and Bonding (if applicable)
Timeline: 30–45 days
Phase: Staff Onboarding and Service Readiness
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Contractors Licensing Board
Website: https://aclb.arkansas.gov
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS HOME MODIFICATION SERVICES PROVIDER
We help builders, community-based agencies, and accessibility experts launch compliant Home Modification Services under Arkansas’s CES Waiver program.
Scope of Work:
Business registration (LLC, EIN, NPI)
Medicaid and DDS CES Waiver provider enrollment support
Contractor licensing and bonding guidance
Policy & procedure manual for home adaptation projects
Templates for cost estimates, consent forms, and tracking logs
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with DDS, case managers, and home care providers
.png)
Nursing Facility Services
NURSING FACILITY TRANSITION SERVICES PROVIDER IN ARKANSAS
SUPPORTING INDIVIDUALS AS THEY MOVE FROM NURSING FACILITIES BACK INTO COMMUNITY LIVING THROUGH COORDINATED, PERSON-CENTERED PLANNING
Nursing Facility Transition Services in Arkansas help eligible individuals safely transition from institutional nursing facilities to home and community-based settings. These services are authorized under the Community and Employment Supports (CES) Waiver and are part of Arkansas’s ongoing commitment to the “Money Follows the Person” initiative and federal Olmstead compliance.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Authorizes and monitors Nursing Facility Transition Services through the CES Waiver and assigns case coordination
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Oversees Medicaid reimbursement for transition-related services and supports
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures that institutional transitions align with HCBS Final Rule requirements
2. TRANSITION SERVICE OVERVIEW
Nursing Facility Transition Services support individuals who are ready to leave a nursing facility and move into a more independent setting. These services assist with identifying housing, securing essential household items, coordinating care, and ensuring a smooth reintegration into the community.
Approved providers may deliver:
Transition planning and readiness assessments
Home setup and purchase of essential furnishings
Payment of utility deposits and household items
Service coordination and care team alignment
Transportation and move-in assistance
Follow-up monitoring and documentation of outcomes
All services must align with the individual’s approved ISP and be pre-authorized by DDS.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit CES Waiver Provider Application to DDS
Enroll as a Medicaid provider via the Arkansas Medicaid Portal
Maintain liability insurance and secure documentation systems
Hire staff with experience in housing support, case coordination, or long-term care transitions
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply via the Arkansas Medicaid Provider Portal
Select Nursing Facility Transition Services under CES Waiver provider types
Submit NPI, W-9, and EFT information
Step 2: DDS CES Waiver Provider Application
Submit service delivery procedures, sample transition plans, and financial tracking tools
Include policies for pre-approval of purchases, documentation of expenditures, and consumer consent
Step 3: Approval and Referral Coordination
Once approved, begin receiving referrals through DDS for individuals seeking to transition from institutional care
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid and CES Waiver provider approval
Policy & procedure manual including:
Transition planning templates and documentation checklists
Housing navigation protocols
Financial tracking and purchase verification logs
Pre- and post-transition service coordination plans
Emergency planning and incident reporting procedures
Consent forms and participant rights documentation
Staff training and supervision logs
Quality assurance measures and post-transition outcome tracking
6. STAFFING REQUIREMENTS
Role: Transition Coordinator / Program Supervisor
Requirements: Experience in case management, housing coordination, or HCBS waiver services
Role: Direct Support Staff / Logistics Coordinator
Requirements:
High school diploma or GED
Background check and registry clearance
Knowledge of household setup, transportation, and documentation
Training Requirements for All Staff:
Person-centered planning and transition protocols
Financial accountability and procurement procedures
Confidentiality, HIPAA, and ethics
Emergency planning and relocation safety
Annual refreshers in documentation and Medicaid compliance
7. MEDICAID WAIVER SERVICES
Nursing Facility Transition Services are authorized under:
Community and Employment Supports (CES) Waiver
ARChoices in Homecare Waiver (for non-DD populations)
Money Follows the Person (MFP) Program
Approved providers may deliver:
Housing navigation and transition readiness assessments
Purchase and setup of basic household items
Care team coordination and community service referrals
Documentation of service delivery, purchases, and outcomes
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Enrollment & CES Waiver Application
Timeline: 45–90 days
Phase: Staff Hiring and Service Planning
Timeline: 30–45 days
Phase: Referral Activation and Transition Support
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
Arkansas Department of Human Services – Money Follows the Person Program
Website: https://humanservices.arkansas.gov/about-dhs/dms/mfp
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS NURSING FACILITY TRANSITION SERVICES PROVIDER
We help organizations launch person-centered, Medicaid-compliant transition services to support individuals moving from nursing facilities into the community.
Scope of Work:
Business registration (LLC, EIN, NPI)
Medicaid and CES Waiver enrollment support
Policy & procedure manual for transition planning and purchasing
Templates for transition assessments, tracking logs, and receipts
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Community Integration
COMMUNITY INTEGRATION SERVICES PROVIDER IN ARKANSAS
SUPPORTING FULL PARTICIPATION IN COMMUNITY LIFE FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES THROUGH INCLUSIVE, GOAL-DRIVEN ACTIVITIES
Community Integration Services in Arkansas help individuals with developmental disabilities engage with their communities through meaningful, skill-building activities. These services are provided under the Community and Employment Supports (CES) Waiver and are designed to promote independence, socialization, and access to community resources in alignment with the individual’s goals in their Individualized Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves and oversees providers delivering Community Integration Services under the CES Waiver
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Administers Medicaid funding, enrollment, and reimbursement for CES Waiver services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with Medicaid HCBS Final Rule
2. COMMUNITY INTEGRATION SERVICE OVERVIEW
Community Integration Services assist individuals with disabilities in participating in everyday life by supporting their involvement in community settings such as libraries, recreational centers, volunteer sites, and public events. These services help develop skills for independent living and community involvement.
Approved providers may deliver:
One-on-one or group-based support in community settings
Assistance accessing volunteer work, classes, and recreational events
Coaching on using public transportation, money management, or communication
Skill-building for social interaction and personal safety in public
Daily documentation of activities aligned with ISP goals
Transportation coordination (if authorized)
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit CES Waiver Provider Application to DDS
Enroll as a Medicaid provider through the Arkansas Medicaid Portal
Hire staff trained in disability services and community-based support
Maintain liability insurance and implement safety protocols for outings
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply via the Arkansas Medicaid Provider Portal
Select Community Integration under CES Waiver provider types
Submit necessary documentation including business credentials and EFT details
Step 2: CES Waiver Provider Application (DDS)
Submit policy manual, training protocols, and sample service logs
Provide outlines of activity schedules, safety plans, and ISP alignment procedures
Step 3: Approval and Referral Activation
Receive referral access from DDS Support Coordinators to begin delivering services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid and CES Waiver approval
Policy & procedure manual including:
Intake, scheduling, and daily activity planning
Community risk assessments and safety procedures
Transportation policies (if applicable)
Daily documentation logs and ISP progress forms
Participant rights and consent procedures
Staff credentialing and supervision protocols
Incident reporting and emergency planning
Billing and time verification forms
6. STAFFING REQUIREMENTS
Role: Community Integration Coordinator / Supervisor
Requirements: Experience in disability services, community engagement, or case coordination
Role: Community Support Professional / Direct Support Staff
Requirements:
High school diploma or GED
CPR/First Aid certification
Background check and registry clearance
Knowledge of inclusive community practices
Training Requirements for All Staff:
Person-centered planning and ISP implementation
Safety during community outings
Communication and behavior support strategies
Documentation and confidentiality
Annual refreshers in ethics, safety, and transportation support
7. MEDICAID WAIVER SERVICES
Community Integration Services are authorized under:
Community and Employment Supports (CES) Waiver
Approved providers may deliver:
Structured community engagement activities
Coaching and transportation support
Social, educational, and recreational outings
Skill-building to promote inclusion and independence
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: CES Waiver and Medicaid Enrollment
Timeline: 45–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Referral Activation and Scheduling
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS COMMUNITY INTEGRATION SERVICES PROVIDER
We help providers develop and launch inclusive Community Integration Services under Arkansas’s CES Waiver to empower individuals through skill-building and community participation.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDS CES Waiver and Medicaid provider enrollment support
Policy & procedure manual for community engagement and ISP tracking
Templates for daily logs, activity calendars, and incident reports
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with support coordinators, advocacy groups, and local organizations
Homemaker Services
HOMEMAKER SERVICES PROVIDER IN ARKANSAS
ASSISTING INDIVIDUALS WITH DISABILITIES TO LIVE SAFELY AND COMFORTABLY IN THEIR HOMES THROUGH NON-MEDICAL SUPPORT
Homemaker Services in Arkansas provide essential, non-medical assistance to individuals who need help maintaining a safe and sanitary living environment. These services are authorized under the Community and Employment Supports (CES) Waiver and support individuals with developmental disabilities in preserving their independence at home.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves providers of Homemaker Services under the CES Waiver and monitors service delivery
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Manages provider enrollment and reimbursement for Homemaker Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with HCBS Waiver requirements
2. HOMEMAKER SERVICE OVERVIEW
Homemaker Services include routine household tasks that the individual is unable to perform due to their disability. These services help maintain a clean, safe, and organized home environment, reducing the risk of institutional placement and enhancing quality of life.
Approved providers may deliver:
Light housekeeping (sweeping, dusting, laundry, dishwashing)
Meal preparation (non-medical, including cleanup)
Assistance with shopping and errands
Bed-making and linen changes
Trash removal and home organization
Documentation of services and participant satisfaction
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit CES Waiver Provider Application to DDS
Complete Medicaid provider enrollment via the Arkansas Medicaid Portal
Hire staff trained in household support and participant safety
Maintain general liability insurance and secure documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply through the Arkansas Medicaid Provider Portal
Submit W-9, NPI confirmation, EFT, and business documentation
Select Homemaker Services under CES Waiver provider types
Step 2: DDS CES Waiver Application
Submit staffing plans, training protocols, and sample service documentation
Include policies for participant rights, scheduling, and home safety
Step 3: Approval and Referral Coordination
Once approved, begin receiving referrals through DDS Support Coordinators
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid and CES Waiver approval
Policy & procedure manual including:
Participant intake and home assessment procedures
Scheduling and task documentation templates
Staff hiring, supervision, and training logs
Participant rights and informed consent
Emergency protocols and incident reporting forms
Confidentiality and HIPAA compliance
Billing and timesheet verification systems
6. STAFFING REQUIREMENTS
Role: Homemaker / Direct Support Staff
Requirements:
High school diploma or GED
CPR/First Aid certification
Background check and Adult/Child Maltreatment Registry clearance
Experience in housekeeping or in-home support preferred
Training Requirements for All Staff:
Safety and cleanliness standards
Infection control and proper use of cleaning agents
Client confidentiality and respectful communication
Annual training in documentation and incident response
7. MEDICAID WAIVER SERVICES
Homemaker Services are authorized under:
Community and Employment Supports (CES) Waiver
ARChoices in Homecare Waiver (under separate guidelines)
Approved providers may deliver:
Non-medical household support and meal preparation
Shopping and home maintenance assistance
Daily documentation and reporting
Support aligned with goals in the Individualized Service Plan (ISP)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid and CES Waiver Enrollment
Timeline: 45–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Service Launch and Referral Coordination
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS HOMEMAKER SERVICES PROVIDER
We support agencies and entrepreneurs in launching Medicaid-compliant Homemaker Services under Arkansas’s CES Waiver program.
Scope of Work:
Business registration (LLC, EIN, NPI)
CES Waiver and Medicaid provider enrollment support
Policy & procedure manual for in-home support and documentation
Templates for task checklists, visit logs, and safety reports
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and service agreements
Incident reporting systems and audit preparation tools
Referral networking with DDS, case managers, and support coordinators
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN ARKANSAS
COORDINATING CARE AND RESOURCES TO SUPPORT INDIVIDUALS WITH DISABILITIES AND THEIR FAMILIES THROUGH PERSON-CENTERED SERVICE PLANNING
Case Management Services in Arkansas support individuals with developmental disabilities by assessing their needs, developing care plans, coordinating services, and monitoring progress. These services are provided under the Community and Employment Supports (CES) Waiver and are critical to ensuring individuals receive consistent, effective, and goal-oriented care in the least restrictive setting.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Certifies Case Management providers and oversees delivery and compliance with CES Waiver requirements
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Administers provider enrollment and Medicaid reimbursement for case management services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with Medicaid case management rules
2. CASE MANAGEMENT SERVICE OVERVIEW
Case Management Services are designed to assist individuals in gaining access to needed waiver and non-waiver services. Case managers work directly with the participant and their families to ensure all supports outlined in the Individualized Service Plan (ISP) are delivered effectively.
Approved providers may deliver:
Comprehensive needs assessments and reassessments
Development and maintenance of person-centered ISPs
Coordination of medical, social, educational, and waiver services
Monitoring of service delivery and participant satisfaction
Crisis planning and emergency support coordination
Documentation of services, notes, and progress reports
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit the DDS CES Waiver Case Management Provider Application
Complete Medicaid enrollment through the Arkansas Medicaid Portal
Hire qualified case managers with required degrees and experience
Maintain professional liability insurance and secure electronic documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply via the Arkansas Medicaid Provider Portal
Submit business documentation, NPI, EFT info, and select CES Case Management services
Step 2: DDS CES Waiver Provider Application
Include case manager job descriptions, sample ISPs, monitoring forms, and staff qualifications
Submit policy manual and recordkeeping protocols
Step 3: Approval and Service Coordination
Upon approval, begin receiving case assignments from DDS
Coordinate with waiver providers, family members, and external agencies
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid enrollment approval
CES Waiver Case Management approval
Policy & procedure manual including:
Intake, eligibility, and person-centered planning procedures
ISP development and documentation protocols
Service monitoring and reassessment workflows
Staff training, supervision, and continuing education tracking
HIPAA, consent forms, and participant rights
Crisis planning and referral procedures
Incident reporting, quality assurance, and billing logs
6. STAFFING REQUIREMENTS
Role: Case Manager / Support Coordinator
Requirements:
Bachelor’s degree in human services, psychology, social work, or related field
Experience in developmental disabilities, service coordination, or Medicaid case management
Background check and Adult/Child Maltreatment Registry clearance
Training Requirements for All Staff:
Person-centered planning and ISP writing
Waiver program compliance and service monitoring
Documentation standards and ethics
Annual training in safety, confidentiality, and emergency response
7. MEDICAID WAIVER SERVICES
Case Management Services are available under:
Community and Employment Supports (CES) Waiver
Approved providers may deliver:
Ongoing service coordination and support
Monthly monitoring and quarterly review of services
Annual reassessments and plan updates
Documentation aligned with DDS standards and Medicaid billing
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Enrollment & CES Waiver Application
Timeline: 45–90 days
Phase: Staff Hiring and Credentialing
Timeline: 30–45 days
Phase: Policy Finalization and Readiness Review
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS CASE MANAGEMENT SERVICES PROVIDER
We help professionals and organizations launch fully compliant Case Management Services under Arkansas’s CES Waiver, from application to documentation and service delivery.
Scope of Work:
Business registration (LLC, EIN, NPI)
CES Waiver and Medicaid provider enrollment support
Policy & procedure manual for person-centered planning and documentation
Templates for assessments, ISP tracking, and monitoring reports
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with DDS, waiver providers, and community supports
Transportation Assistance
TRANSPORTATION ASSISTANCE SERVICES PROVIDER IN ARKANSAS
HELPING INDIVIDUALS ACCESS ESSENTIAL SERVICES AND COMMUNITY LIFE SAFELY THROUGH RELIABLE NON-EMERGENCY TRANSPORTATION SUPPORT
Transportation Assistance Services in Arkansas support individuals with developmental disabilities by helping them access waiver services, medical appointments, employment, and community activities. These services are offered under the Community and Employment Supports (CES) Waiver and are critical to promoting independence, inclusion, and continuity of care.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves CES Waiver providers offering transportation services and ensures regulatory compliance
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Administers provider enrollment and Medicaid reimbursement for CES Waiver transportation services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures transportation services align with HCBS community integration standards
2. TRANSPORTATION SERVICE OVERVIEW
Transportation Assistance Services provide non-emergency, door-to-door support to help individuals attend authorized waiver services and activities included in their ISP. Services may be provided directly or coordinated with third-party drivers.
Approved providers may deliver:
Transportation to and from habilitation, employment, or day programs
Mileage-based reimbursement for agency-provided rides
Supervised, scheduled rides aligned with ISP goals
Vehicle safety inspections and maintenance tracking
Driver credential verification and training
Documentation of mileage, trip purpose, and client attendance
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit CES Waiver Provider Application to DDS
Enroll through the Arkansas Medicaid Provider Portal
Maintain commercial vehicle insurance and fleet registration
Have documented policies for vehicle safety, maintenance, and incident response
Hire drivers with valid licenses, background checks, and appropriate training
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply through the Arkansas Medicaid Provider Portal
Submit business documents, EFT info, and designate CES Waiver services
Step 2: DDS CES Waiver Application
Include transportation-specific policies and safety protocols
Submit sample mileage logs, training documentation, and driver credentials
Step 3: Approval and ISP Coordination
Once approved, coordinate with support coordinators to provide authorized transportation services per participant ISP
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid enrollment and CES Waiver provider approval
Policy & procedure manual including:
Vehicle maintenance and inspection logs
Driver onboarding and training procedures
Trip scheduling and dispatching workflows
Mileage documentation and billing forms
Participant rights and consent forms
Emergency preparedness and accident protocols
HIPAA and client confidentiality procedures
Incident reporting and supervisory checklists
6. STAFFING REQUIREMENTS
Role: Transportation Coordinator / Scheduler
Requirements: Experience in logistics, dispatch, or Medicaid transportation services
Role: Driver / Transportation Staff
Requirements:
Valid Arkansas driver’s license
Clean driving record and background check
CPR/First Aid and defensive driving training
Ability to support passengers with mobility challenges
Training Requirements for All Staff:
Passenger assistance and vehicle safety
Confidentiality and client interaction protocols
Incident and emergency response procedures
Annual reviews on vehicle operation, documentation, and ethics
7. MEDICAID WAIVER SERVICES
Transportation Assistance Services are authorized under:
Community and Employment Supports (CES) Waiver
ARChoices in Homecare Waiver (in certain cases)
Non-Emergency Transportation (NET) Program (separately administered through brokers)
Approved providers may deliver:
Round-trip transportation to CES Waiver services and activities
ISP-authorized community transportation
Documented mileage-based reimbursement
Coordination with case managers and service teams
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid and CES Waiver Enrollment
Timeline: 45–90 days
Phase: Vehicle Registration and Staff Hiring
Timeline: 30–45 days
Phase: Service Scheduling and Coordination
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
Arkansas Department of Finance & Administration – Motor Vehicle Division
Website: https://www.dfa.arkansas.gov/motor-vehicle
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS TRANSPORTATION ASSISTANCE SERVICES PROVIDER
We help transportation providers and community agencies establish Medicaid-compliant transportation services under Arkansas’s CES Waiver program.
Scope of Work:
Business registration (LLC, EIN, NPI)
CES Waiver and Medicaid enrollment support
Policy & procedure manual for transportation safety and compliance
Templates for driver logs, mileage tracking, and vehicle inspections
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with case managers, day programs, and support coordinators
Home Health
HOME HEALTH SERVICES PROVIDER IN ARKANSAS
DELIVERING SKILLED NURSING AND THERAPEUTIC SUPPORT TO INDIVIDUALS IN THE COMFORT OF THEIR OWN HOMES
Home Health Services in Arkansas provide medically necessary, in-home healthcare to individuals with chronic illnesses, disabilities, or post-acute needs. These services are authorized under the Arkansas Medicaid State Plan, ARChoices in Homecare Waiver, and may support participants enrolled in the Community and Employment Supports (CES) Waiver when coordinated with waiver services.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Health (ADH) – Home Health Services Section
Role: Licenses and monitors home health agencies for clinical and safety compliance
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Handles Medicaid enrollment, authorization, and reimbursement for home health services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures home health services comply with federal healthcare and Medicaid rules
2. HOME HEALTH SERVICE OVERVIEW
Home Health Services include skilled nursing, therapies, and medical social work delivered to a participant’s home. Services are ordered by a physician and are typically short-term, rehabilitative, or preventive in nature.
Approved providers may deliver:
Skilled nursing (e.g., medication administration, wound care, catheter care)
Licensed Practical Nurse (LPN) services under RN supervision
Certified Home Health Aide (CHHA) support
Physical, occupational, and speech therapy (as authorized)
Medical social services (as needed)
Ongoing clinical documentation and communication with physicians
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for licensure through the Arkansas Department of Health as a Home Health Agency
Obtain Medicare certification (optional but common)
Enroll as a Medicaid provider via the Arkansas Medicaid Portal
Hire licensed RNs, LPNs, therapists, and aides
Maintain professional and general liability insurance
4. PROVIDER ENROLLMENT PROCESS
Step 1: ADH Home Health Licensure
Submit agency application, policies, and staff credentials
Complete onsite inspection and documentation review
Step 2: Medicaid Provider Enrollment
Apply through the Arkansas Medicaid Provider Portal
Submit W-9, EFT setup, license, and business information
Select “Home Health Services” as your provider type
Step 3: Medicare Certification (optional)
Apply for CMS certification for dual-billing capabilities (if serving Medicare beneficiaries)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Home Health Agency License (ADH)
Medicaid enrollment approval
Policy & procedure manual including:
Physician order management and care planning
Skilled nursing, aide services, and therapy protocols
Staff onboarding and licensure tracking
Medication management and safety standards
Infection control and universal precautions
HIPAA compliance, patient rights, and consent forms
Visit documentation and physician communication logs
Incident reporting and quality assurance tools
6. STAFFING REQUIREMENTS
Role: Director of Nursing / Administrator
Requirements: Arkansas RN license with administrative experience
Role: Registered Nurse (RN)
Requirements: Active Arkansas license, CPR certification, home health experience preferred
Role: Licensed Practical Nurse (LPN)
Requirements: Must operate under RN supervision
Role: Certified Home Health Aide (CHHA)
Requirements: ADH-approved training, background check, and supervision by a nurse
Optional Roles:
Physical Therapist
Occupational Therapist
Speech Therapist
Medical Social Worker
Training Requirements for All Staff:
Infection control, patient safety, and clinical documentation
Emergency procedures and care plan implementation
Annual licensure and skills reviews
7. MEDICAID WAIVER SERVICES
Home Health Services are primarily funded through:
Arkansas Medicaid State Plan
ARChoices in Homecare Waiver
CES Waiver (in limited coordination with other services)
Approved providers may deliver:
Intermittent, in-home skilled medical care
Short-term rehab and recovery support
Long-term nursing and aide services (with pre-authorization)
Documentation and coordination with care teams and primary care providers
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: ADH Home Health License Application
Timeline: 60–90 days
Phase: Medicaid Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Medicare Certification (optional)
Timeline: 45–60 days
9. CONTACT INFORMATION
Arkansas Department of Health – Home Health Services Section
Phone: (501) 661-2201
Website: https://www.healthy.arkansas.gov
Arkansas Department of Human Services – Division of Medical Services (DMS)
Email: ask.medicaid@arkansas.gov
Website: https://humanservices.arkansas.gov/about-dhs/dms
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS HOME HEALTH SERVICES PROVIDER
We support agencies in launching fully licensed and Medicaid-compliant Home Health Services across Arkansas, from licensing to clinical documentation systems.
Scope of Work:
Business registration (LLC, EIN, NPI)
ADH licensing and Medicaid enrollment support
Policy & procedure manual for clinical and home-based care
Templates for physician orders, RN notes, aide logs, and medication sheets
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and plan of care templates
Incident reporting systems and audit preparation tools
Referral networking with hospitals, primary care offices, and waiver case managers
Meal & Nutrition
MEAL AND NUTRITION SERVICES PROVIDER IN ARKANSAS
PROMOTING HEALTH, INDEPENDENCE, AND WELL-BEING THROUGH NUTRITION SUPPORT FOR INDIVIDUALS WITH DISABILITIES AND CHRONIC CONDITIONS
Meal and Nutrition Services in Arkansas ensure individuals receiving Home and Community-Based Services (HCBS) have access to safe, nutritious, and appropriate meals that support their overall health and personal goals. These services are authorized under Arkansas’s HCBS Medicaid Waiver programs and are designed to enhance quality of life, promote independence, and prevent institutionalization.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Aging, Adult, and Behavioral Health Services (DAABHS)
Role: Approves Meal and Nutrition providers, sets service standards, and monitors quality compliance under waiver programs
Agency: Arkansas Medicaid (under Arkansas DHS)
Role: Manages provider enrollment, service authorizations, and claims processing for Meal and Nutrition services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight, ensuring compliance with HCBS rules and person-centered principles
2. MEAL AND NUTRITION SERVICE OVERVIEW
Meal and Nutrition Services include the planning, preparation, and delivery of meals tailored to the individual’s dietary needs, health conditions, and personal preferences. Services focus on supporting participants who are unable to prepare adequate meals independently due to physical, cognitive, or environmental barriers.
Approved providers may deliver:
Home-delivered meals (daily or multiple meals per week)
Congregate meal services at approved community locations (if applicable)
Specialized diets (e.g., diabetic, low-sodium, pureed diets)
Nutritional education and counseling (as authorized)
Meal preparation assistance within the participant’s home
All services must align with the participant’s person-centered service plan and dietary needs determined by a healthcare provider or nutritionist, as appropriate.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Maintain a commercial kitchen license from the Arkansas Department of Health (if preparing meals)
Secure liability insurance and food service permits
Develop procedures for safe food handling, storage, and delivery
Ensure compliance with USDA dietary guidelines and Arkansas food safety regulations
4. DHS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Meal and Nutrition Services provider application packet from DAABHS
Attend waiver provider orientation (recommended)
Application and Documentation Submission:
Submit business information, food preparation and delivery plans, and staff qualification documentation
Provide food safety certifications, menu samples, and service scheduling protocols
Include emergency meal delivery and contingency plans
Program Readiness Review:
DHS evaluates food safety compliance, nutritional adequacy, staffing qualifications, and service delivery systems
May inspect food preparation sites or meal packaging areas
Reviews participant intake and dietary needs documentation
Approval & Medicaid Enrollment:
Upon DHS approval, register with Arkansas Medicaid via the Medicaid Provider Enrollment Portal
Select appropriate billing codes for Meal and Nutrition Services under HCBS waiver programs
Complete Medicaid provider agreements and configure billing and claims systems
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Commercial kitchen license or food service permit
SDS-Compliant Policy & Procedure Manual including:
Participant intake and dietary needs assessment procedures
Food safety and sanitation protocols
Delivery scheduling and contingency planning
Emergency response procedures for missed meals
Client rights, privacy, and grievance policies
Staff training records, background checks, and certifications
Menu planning records and nutritional analysis documentation
Medicaid billing, tracking, and service authorization procedures
6. STAFFING REQUIREMENTS
Role: Meal Services Manager / Supervisor
Requirements: Experience in food service management, food safety certification, background check clearance
Role: Delivery Staff / Meal Preparers
Requirements: Food handler permit, CPR/First Aid certification (recommended), background check clearance
Role: Nutritionist or Dietitian (optional for specialized meal planning)
Requirements: Licensed in Arkansas as a Registered Dietitian Nutritionist (RDN)
All staff must complete:
Food safety training
Client confidentiality and elder abuse prevention training
Emergency response and incident reporting training
Annual refreshers on food handling and Medicaid documentation
7. MEDICAID WAIVER SERVICES
The following Arkansas Medicaid Waivers authorize Meal and Nutrition Services:
ARChoices in Homecare Waiver
Community and Employment Supports (CES) Waiver
Living Choices Assisted Living Waiver
Alternatives for Adults with Physical Disabilities (AAPD) Waiver
Approved providers may deliver:
Home-delivered meals customized to health needs
Congregate meals (if approved for community settings)
Emergency meals during service disruptions
Nutritional education sessions as authorized
8. TIMELINE TO LAUNCH
Phase: Business Formation and Food Service Licensing
Timeline: 2–3 weeks
Phase: DHS Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Training, and Food Preparation Readiness
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Aging, Adult, and Behavioral Health Services (DAABHS)
Email: DAABHS.ProviderEnrollment@arkansas.gov
Phone: (501) 686-9164
Website: https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-and-behavioral-health-services/
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov/ARMedicaid/Provider
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARKANSAS MEAL AND NUTRITION PROVIDER
WCG helps providers establish compliant and efficient Meal and Nutrition Services under Arkansas’s HCBS Waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DHS application and documentation development
Creation of Meal and Nutrition Policy & Procedure Manual
Staff training templates for food handling and safety
Medicaid enrollment and claims system setup
Website, domain, and email setup
Client intake and dietary needs assessment packet
Staff food safety training materials and compliance logs
Menu planning templates and service scheduling tools
Community networking and emergency meal delivery planning
Supported Living
SUPPORTED LIVING SERVICES PROVIDER IN ARKANSAS
PROVIDING CUSTOMIZED SUPPORT IN THE HOME TO PROMOTE INDEPENDENCE, DIGNITY, AND COMMUNITY INCLUSION
Supported Living Services in Arkansas are individualized, flexible services that help people with developmental disabilities live successfully in their own homes or apartments. These services are authorized under the Community and Employment Supports (CES) Waiver and are designed to offer as much or as little assistance as a person needs to achieve independence in a community-based setting.
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Approves and monitors Supported Living providers under the CES Waiver
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Handles provider enrollment and Medicaid reimbursement for supported living services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of HCBS waiver compliance, including residential and in-home support services
2. SUPPORTED LIVING SERVICE OVERVIEW
Supported Living Services help individuals manage daily living in their own homes, either alone or with chosen roommates. Services are based on the person’s goals and needs, and may range from a few hours a week to 24/7 support.
Approved providers may deliver:
Assistance with activities of daily living (ADLs) such as cooking, hygiene, cleaning, and money management
Medication reminders and health monitoring (non-clinical)
Community engagement and social skill-building
Safety supervision and behavioral redirection
Support with budgeting, grocery shopping, and transportation
Documentation of service delivery and progress toward ISP goals
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit CES Waiver Provider Application to DDS
Complete Medicaid enrollment via the Arkansas Medicaid Portal
Maintain liability insurance and secure documentation systems
Hire trained staff and implement supervision and safety protocols
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply through the Arkansas Medicaid Provider Portal
Submit W-9, EFT info, and business documentation
Select Supported Living under CES Waiver services
Step 2: DDS CES Waiver Provider Application
Submit policy manual, sample care plans, and documentation templates
Include staff training protocols and emergency procedures
Step 3: Approval and Referral Activation
Upon approval, begin receiving ISP-based referrals for supported living services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
Medicaid and CES Waiver provider approval
Policy & procedure manual including:
Daily service planning and care documentation
Staff supervision and check-in protocols
Medication and health observation documentation
Client rights and grievance policies
Emergency preparedness and incident reporting procedures
ISP goal tracking forms and communication logs
Confidentiality, safety, and visit verification tools
Staff credentialing and annual training logs
6. STAFFING REQUIREMENTS
Role: Supported Living Program Supervisor
Requirements: Experience in home- and community-based disability services and staff supervision
Role: Direct Support Professional (DSP)
Requirements:
High school diploma or GED
CPR/First Aid certification
Completion of DDS-required training
Background check and Adult/Child Maltreatment Registry clearance
Training Requirements for All Staff:
Person-centered planning and ISP implementation
ADL support, documentation, and ethics
Safety and emergency response procedures
Annual refreshers on confidentiality, rights, and waiver compliance
7. MEDICAID WAIVER SERVICES
Supported Living Services are authorized under:
Community and Employment Supports (CES) Waiver
Approved providers may deliver:
Scheduled and unscheduled assistance with in-home routines
Community access and social engagement support
Independent living skill development
Supervision and safety in non-institutional housing
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid and CES Waiver Enrollment
Timeline: 45–90 days
Phase: Staff Hiring and Onboarding
Timeline: 30–45 days
Phase: Referral Coordination and Service Activation
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS SUPPORTED LIVING SERVICES PROVIDER
We help new agencies launch Medicaid-compliant Supported Living Services to help individuals thrive independently in their own homes.
Scope of Work:
Business registration (LLC, EIN, NPI)
CES Waiver and Medicaid enrollment support
Policy & procedure manual for supported living supervision and care
Templates for ISP tracking, care logs, and incident reports
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and service agreements
Incident reporting systems and audit preparation tools
Referral networking with DDS, case managers, and housing providers
Community Based Employment
COMMUNITY-BASED EMPLOYMENT SERVICES PROVIDER IN ARKANSAS
SUPPORTING INDIVIDUALS WITH DISABILITIES IN OBTAINING AND MAINTAINING COMPETITIVE JOBS THROUGH CUSTOMIZED WORKPLACE SUPPORTS
Community-Based Employment Services in Arkansas help individuals with developmental disabilities achieve meaningful, competitive employment in integrated settings. These services are authorized under the Community and Employment Supports (CES) Waiver and are tailored to the individual’s goals, interests, and strengths as outlined in their Individualized Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Certifies providers and monitors the delivery of employment supports under the CES Waiver
Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Manages Medicaid provider enrollment and reimbursement for employment services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures employment services comply with HCBS Final Rule and promote community inclusion and independence
2. EMPLOYMENT SERVICE OVERVIEW
Community-Based Employment Services include support in finding, securing, and maintaining jobs in integrated settings. Services are person-centered and can be delivered individually or in small groups, depending on the participant’s needs.
Approved providers may deliver:
Job exploration and vocational assessments
Job development and employer outreach
Interview preparation and resume support
On-the-job training and job coaching
Ongoing employment stabilization and follow-up services
Benefits counseling and work accommodations assistance
Documentation of employment progress and ISP outcomes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Arkansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit CES Waiver Provider Application to DDS
Complete Medicaid provider enrollment through the Arkansas Medicaid Portal
Hire employment specialists or job coaches with experience in disability support
Maintain general liability insurance and a system for tracking employment outcomes
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply via the Arkansas Medicaid Provider Portal
Submit EFT, W-9, and business documentation
Choose Employment Services under CES Waiver provider types
Step 2: DDS CES Waiver Application
Provide a detailed service plan, including job development strategies and coaching procedures
Submit staff qualifications, training protocols, and data collection tools
Step 3: Approval and Service Coordination
Begin receiving referrals and authorizations from DDS support coordinators
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
CES Waiver provider approval
Policy & procedure manual including:
Job matching, outreach, and coaching protocols
Participant intake and goal-setting templates
Daily logs and employment progress tracking forms
Benefits and wage reporting coordination
Crisis management and workplace incident documentation
Staff training and supervision logs
Confidentiality, rights, and HIPAA compliance policies
Quality assurance and employer feedback tools
6. STAFFING REQUIREMENTS
Role: Employment Specialist / Job Developer
Requirements: Experience in workforce development, disability services, or vocational rehabilitation
Role: Job Coach / Community Support Professional
Requirements:
High school diploma or GED
Training in job support strategies
Background check and Adult/Child Maltreatment Registry clearance
Reliable transportation and communication skills
Training Requirements for All Staff:
Person-centered employment planning
Documentation and ISP alignment
Employer engagement and workplace accommodation strategies
Ethics, confidentiality, and HCBS compliance
Annual continuing education in job development best practices
7. MEDICAID WAIVER SERVICES
Community-Based Employment Services are authorized under:
Community and Employment Supports (CES) Waiver
Approved providers may deliver:
Individualized job search and placement support
On-site job coaching and follow-up services
Coordination with vocational rehabilitation counselors and employers
Documentation aligned with the ISP and work readiness goals
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: CES Waiver and Medicaid Enrollment
Timeline: 45–90 days
Phase: Staff Hiring and Credentialing
Timeline: 30–45 days
Phase: Referral Activation and Employer Outreach
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)
Email: ddsproviderinfo@dhs.arkansas.gov
Phone: (501) 683-5687
Website: https://humanservices.arkansas.gov/about-dhs/dms/dds
Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov
Arkansas Division of Workforce Services (Employer Services)
Website: https://www.dws.arkansas.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS COMMUNITY-BASED EMPLOYMENT SERVICES PROVIDER
We help employment providers, vocational programs, and nonprofits launch Medicaid-compliant Community-Based Employment Services under the CES Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
CES Waiver and Medicaid enrollment support
Policy & procedure manual for job development and coaching
Templates for job logs, progress tracking, and employer outreach
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with VR counselors, DDS, and employers
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.