HOMEMAKER SERVICES PROVIDER IN ARKANSAS

ASSISTING INDIVIDUALS WITH DISABILITIES TO LIVE SAFELY AND COMFORTABLY IN THEIR HOMES THROUGH NON-MEDICAL SUPPORT

Homemaker Services in Arkansas provides essential, non-medical assistance to individuals who need help maintaining a safe and sanitary living environment. These services are authorized under the Community and Employment Supports (CES) Waiver and support individuals with developmental disabilities in preserving their independence at home.

1. GOVERNING AGENCIES

Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)

Role: Approves providers of Homemaker Services under the CES

Waiver and monitors service delivery

Agency: Arkansas Medicaid / Division of Medical Services (DMS)

Role: Manages provider enrollment and reimbursement for Homemaker Services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures federal compliance with HCBS Waiver requirements

2. HOMEMAKER SERVICE OVERVIEW

Homemaker Services include routine household tasks that the individual is unable to perform due to their disability. These services help maintain a clean, safe, and organized home environment, reducing the risk of institutional placement and enhancing quality of life.

Approved providers may deliver:

• Light housekeeping (sweeping, dusting, laundry, dishwashing)

• Meal preparation (non-medical, including cleanup)

• Assistance with shopping and errands

• Bed-making and linen changes

• Trash removal and home organization

• Documentation of services and participant satisfaction

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Arkansas Secretary of State

• Obtain EIN from the IRS and NPI (Type 2)

• Submit CES Waiver Provider Application to DDS

• Complete Medicaid provider enrollment via the Arkansas Medicaid Portal

• Hire staff trained in household support and participant safety

• Maintain general liability insurance and secure documentation systems

4. PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Provider Enrollment

• Apply through the Arkansas Medicaid Provider Portal

• Submit W-9, NPI confirmation, EFT, and business documentation

• Select Homemaker Services under CES Waiver provider types

Step 2: DDS CES Waiver Application

• Submit staffing plans, training protocols, and sample service documentation

• Include policies for participant rights, scheduling, and home safety

Step 3: Approval and Referral Coordination

• Once approved, begin receiving referrals through DDS Support Coordinators

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License

• IRS EIN Letter

• NPI confirmation

• Medicaid and CES Waiver approval

• Policy & procedure manual including:

  • Participant intake and home assessment procedures

  • Scheduling and task documentation templates

  • Staff hiring, supervision, and training logs

  • Participant rights and informed consent

  • Emergency protocols and incident reporting forms

  • Confidentiality and HIPAA compliance

  • Billing and timesheet verification systems

6. STAFFING REQUIREMENTS

Role: Homemaker / Direct Support Staff

Requirements:

• High school diploma or GED

• CPR/First Aid certification

• Background check and Adult/Child Maltreatment Registry clearance

• Experience in housekeeping or in-home support preferred

Training Requirements for All Staff:

• Safety and cleanliness standards

• Infection control and proper use of cleaning agents

• Client confidentiality and respectful communication

• Annual training in documentation and incident response

7. MEDICAID WAIVER SERVICES

Homemaker Services are authorized under:

• Community and Employment Supports (CES) Waiver

• ARChoices in Homecare Waiver (under separate guidelines)

Approved providers may deliver:

• Non-medical household support and meal preparation

• Shopping and home maintenance assistance

• Daily documentation and reporting

• Support aligned with goals in the Individualized Service Plan (ISP)

8. TIMELINE TO LAUNCH

Phase: Business FormationTimeline: 1–2 weeks

Phase: Medicaid and CES Waiver EnrollmentTimeline: 45–90 days

Phase: Staff Hiring and TrainingTimeline: 30–45 days

Phase: Service Launch and Referral CoordinationTimeline: 2–4 weeks

9. CONTACT INFORMATION

Arkansas Department of Human Services – Division of Developmental Disabilities Services (DDS)

Email: ddsproviderinfo@dhs.arkansas.gov

Phone: (501) 683-5687

Website: https://humanservices.arkansas.gov/about-dhs/dms/dds

Arkansas Medicaid Provider Enrollment Portal

Website: https://portal.mmis.arkansas.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARKANSAS HOMEMAKER SERVICES PROVIDER

We support agencies and entrepreneurs in launching Medicaid-compliant Homemaker Services under Arkansas’s CES Waiver program.

Scope of Work:

• Business registration (LLC, EIN, NPI)

• CES Waiver and Medicaid provider enrollment support

• Policy & procedure manual for in-home support and documentation

• Templates for task checklists, visit logs, and safety reports

• Website, domain, and email setup

• Staff credentialing trackers and supervision logs

• Client intake packet, consent forms, and service agreements

• Incident reporting systems and audit preparation tools

• Referral networking with DDS, case managers, and support coordinators

Continue To Our Client Portal To Get Started

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