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Arkansas Medicaid waivers that pay for home care

Last verified October 17, 2026 · All Arkansas resources

Arkansas Medicaid pays for in-home personal care and related services through 2 programs, including the ARChoices in Homecare Waiver and the Community and Employment Support (CES) Waiver. ARChoices is operated by the Division of Aging, Adult, and Behavioral Health Services (DAABHS) under the Division of Medical Services; CES is operated by the Division of Developmental Disabilities Services and delivered through PASSE managed care. As of October 2025, State Plan Personal Care, ARChoices attendant care, and ARChoices respite providers are licensed only by the Department of Health, and ARChoices and Living Choices (assisted living) are being redesigned. Confirm EVV and billing requirements with Arkansas DHS.

Yes. Arkansas covers State Plan Personal Care, capped at 64 hours per month for adults 21 and older, with Acentra prior authorizations lasting 12 months; IndependentChoices lets some beneficiaries self-direct personal care.

Which Arkansas waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

ARChoices in Homecare Waiver

Population
Adults aged 21 through 64 with a physical disability, or people 65 and older, who meet financial criteria and the nursing home level of care.
Services covered
  • attendant care
  • respite care
  • adult day services
  • adult day health
  • home-delivered meals
  • personal emergency response system
  • case management
  • environmental accessibility adaptations
  • prevocational services
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

Community and Employment Support (CES) Waiver

Population
Arkansans of any age with an intellectual or developmental disability (onset before 22) who meet the ICF/IID level of care and financial, psychological, and functional criteria.
Services covered
  • caregiver respite
  • supportive living
  • supported employment
  • supplemental support
  • adaptive equipment
  • community transition services
  • environmental modifications
Billing format
All CES waiver beneficiaries are enrolled in a PASSE managed care organization, which coordinates services and assigns a care coordinator.
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for Arkansas

Medicaid waiver lookup: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.

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