1. Program Definition and Services
Case Management Services in Arkansas assist participants in gaining access to needed waiver, state plan, medical, social, educational, and other services. Services include:
- Assessment of individual needs
- Development of individualized care plans
- Referrals to help obtain needed services
- Monitoring and follow-up contacts
- Scheduling appointments for medical, social, and educational services
2. Regulations
The program is governed by Arkansas Administrative Code 016.06.04 and follows federal regulations under 42 CFR 440.169.
3. Licensing or Certification
Providers must be certified by the Division of Provider Services and Quality Assurance (DPSQA) and meet specific qualifications.
4. Responsible State Agency
The Arkansas Department of Human Services (DHS), specifically the Division of Medical Services, oversees the program.
5. Application Process
Providers must complete a certification process through DPSQA. Contact DHS to initiate the process.
6. Required Documentation
Required documentation includes:
- Proof of liability insurance
- Evidence of one year experience in case management
- Evidence of one year experience working with the target population
- Staff qualifications and training records
- Policies and procedures documentation
7. Timeline for Approval
The exact timeline is not specified.
8. Pre-Application Process
No specific pre-application process is mentioned in the provided information.
9. Pre-Application Training
Case managers must meet specific qualifications, including licensure as a social worker or nurse, or have a bachelor's degree in a related field, or two years of experience in human services delivery.
10. Additional Notes
- Case managers are limited to a maximum of 90 active cases, with temporary exceptions allowed.
- Services exclude the actual provision of direct services or treatment.
- As of February 25, 2025, Arkansas has completed its update to the Statewide Transition Plan incorporating Home and Community-Based Services (HCBS) Settings regulations.
- The state is in the process of procuring a contracted vendor for several components of case management to ensure conflict-free case management.
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