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.
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.
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.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
caregiver scheduling software for home care agencies.
Simple pricing
From$199/month
Up to 10 caregivers on Starter, 50 on Growth.
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