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016.06.71-215.000. ARChoices Forms

AR ADC 016.06.71-215.000Arkansas Administrative CodeEffective: October 1, 2022

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 71. Archoices in Homecare (Archoices) Home and Community-Based Services (Hcbs) Waiver
Section 210.000. Program Coverage
Effective: October 1, 2022
Ark. Admin. Code 016.06.71-215.000
016.06.71-215.000. ARChoices Forms
Currentness
ARChoices providers are required to utilize all program forms as appropriate and as instructed by the Division of Medical Services and the Division of Aging, Adult and Behavioral Health Services. These forms include but are not limited to:
A. Person Centered Service Plan -- AAS--9503
B. Start Services -- AAS--9510
C. Participant Change of Status -- AAS--9511
Providers may request form AAS--9511 by writing to the Division of Aging, Adult and Behavioral Health Services.
Forms AAS--9503 and AAS--9510 will be mailed to the provider by the PCSP/CC NURSE.
Instructions for completion and retention are included with each form. If there are questions regarding any ARChoices form, providers may contact the PCSP/CC NURSE in your area.

Credits

Adopted Dec. 27, 2015. Amended Jan. 1, 2016; Jan. 1, 2019; Oct. 1, 2022.
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.71-215.000, AR ADC 016.06.71-215.000
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