DHS

Contact Us

Forms & Documents

Announcements

Title Type Posted Date
DDS Board Meeting Notice PDF 01/19/2021
DDS Waiver Provider Stakeholder Meeting Summary PDF 02/02/2016
DDS Waiver Provider Meeting Case Management Comments PDF 02/02/2016
DDS Waiver Provider Meeting Funding Comments PDF 02/02/2016
HCBS Setting Regional Training PDF 04/05/2017

Directories

Title Type Posted Date
CES Waiver Provider List PDF 01/15/2021
EIDT Provider Directory PDF 02/03/2020
ADDT Provider Directory PDF 01/28/2020

Forms

Title Type Posted Date
Waiver Service Provider Application PDF 05/09/2019
Waiver Service Provider Application Instructions PDF 05/09/2019
Social History Form DOC 01/02/2018
DDS-1910 | Incident Report Form PDF 10/31/2005
AUTHORIZATION FOR ADULT MALTREATMENT CENTRAL REGISTRY PDF  
Request for Criminal Record Check DDS-5088 (FBI) PDF  
Request for Criminal Record Check DDS-5088 (State) PDF  
Ombudsman Initial Contact PDF  

General Information

Title Type Posted Date
CDS General Supervision PDF 02/19/2013
CARF Crosswalk PDF 07/08/2012
Organizational Chart PDF  

Information & Forms

Title Type Posted Date
Title V CSHCN Application Packet PDF 10/24/2019

PAC Documents

Title Type Posted Date
PAC - CHC Family Member Release PDF  
PAC | Tip 10 - Questions to Ask Your Doctor (Spanish) PDF  
PAC | Tip 11 - Turning 18 (Spanish) PDF  
PAC | Parent Advisory Council Brochure PDF  
PAC | Tip 10 - Questions to Ask Your Doctor PDF  
PAC | Tip 11 - Turning 18 PDF  
PAC | Tip 01 - Preparing For A Transition IEP Meeting PDF  
PAC | Tip 09 - Health Care Transition In Adolescents And Young Adults With Disabilities PDF  
PAC | Tip 02 - Developing An Individual Plan For Employment (IPE) PDF  
PAC | Tip 03 - Job Accommodations PDF  
PAC | Tip 08 - Assistive Technology (AT) PDF  
PAC | Tip 04 - Promoting Self-Determination In Youth With Disabilities PDF  
PAC | Tip 05 - Keys To Successful Transition PDF  
PAC | Tip 07 - Person Centered Planning PDF  
PAC | Tip 06 - Accessing The Division Of Vocational Rehabilitation (VR) PDF  

Part C Application

Title Type Posted Date
Annual State Application | 2012 PDF  
Annual State Application | 2013 PDF  
Annual State Application | 2014 PDF  
Annual State Application | 2015 PDF  
Annual State Application | 2011 PDF  

Presentation

Title Type Posted Date
DDS Services PDF 08/16/2019

 

DDS Rules

Adult Developmental Day Treatment Provider Standards: Effective 01/01/2021

Early Intervention Day Treatment Providers: Standards Effective 01/01/2021

Community Support System Providers: Standards Effective 01/01/2021

Medicaid Provider Manuals

Adult Developmental Day Treatment (ADDT) - Medicaid Provider Manual

Early Intervention Day Treatment (EIDT) - Medicaid Provider Manual

Autism Waiver - Medicaid Provider Manual

Occupational, Physical, and Speech-Language Therapy Services - Medicaid Provider Manual

Children's Services Targeted Case Management - Medicaid Provider Manual

Provider-Led Arkansas Shared Savings Entity (PASSE) - Medicaid Provider Manual

Developmemental Rehabilitation Services - Medicaid Provider Manual

Personal Care - Medicaid Provider Manual

Targeted Case Management - Medicaid Provider Manual

Transportation - Medicaid Provider Manual

Medicaid Waivers

Community and Employment Supports (CES) Waiver

Care Coordination Waiver

Autism Waiver

 

Arkansas Department of Human Services
Arkansas Department of Human Services

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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