MAKING HOMES SAFER AND MORE ACCESSIBLE TO SUPPORT INDEPENDENT LIVING FOR INDIVIDUALS WITH DISABILITIES

1. GOVERNING AGENCIES

Agency: Arkansas Department of Human Services (DHS) – Division of Developmental Disabilities Services (DDS)
Role: Authorizes and monitors home modification projects and certifies CES Waiver providers

Agency: Arkansas Medicaid / Division of Medical Services (DMS)
Role: Processes provider enrollment and Medicaid reimbursement for approved modifications

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Oversees Medicaid waiver compliance for home and community-based accessibility supports

2. HOME MODIFICATION SERVICE OVERVIEW

Home Modifications include structural adaptations to a participant’s residence that are necessary to ensure the health, welfare, and safety of the individual or that enable greater independence. Modifications must be pre-approved, necessary, and not purely for aesthetic or convenience purposes.

Approved providers may deliver:

• Wheelchair ramps and widened doorways
• Roll-in showers, grab bars, and bathroom alterations
• Lowered countertops or accessible cabinetry
• Stair lifts, handrails, or platform lifts
• Non-slip flooring or doorway threshold adjustments
• Adaptations to lighting, alarm systems, or HVAC controls
• Coordination with contractors, inspectors, and DDS
• Documentation of all expenses and before/after photos

​

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Arkansas Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Apply through the DDS CES Waiver Provider Application
• Enroll as a provider through the Arkansas Medicaid Portal
• Maintain general liability and property insurance
• Have appropriate contractor licenses and bonding, if performing construction
• Hire or subcontract qualified professionals (builders, electricians, plumbers)

​

4. PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Provider Enrollment

• Register with Arkansas Medicaid via the Provider Portal
• Submit license, tax documents, EFT, and W-9 information

Step 2: CES Waiver Provider Application (DDS)

• Submit a detailed service description, budget procedures, and staff credentials
• Provide sample documentation such as job cost estimates and approval tracking forms

Step 3: Final Approval and Referrals

• Once approved, receive referrals through DDS case managers for ISP-authorized modifications

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License
• IRS EIN Letter
• NPI confirmation
• Contractor license (if applicable)
• Medicaid and CES Waiver provider approval

Policy & procedure manual including:

• Pre-approval and scope of work forms
• Client intake, consent, and service authorization procedures
• Warranty and repair documentation
• Before/after photo protocols
• Financial tracking logs and vendor invoices
• Project timelines, safety compliance, and inspection checklists
• Staff/subcontractor background check and insurance documentation

​

6. STAFFING REQUIREMENTS

Role: Project Coordinator / Home Modification Supervisor
Requirements: Experience in residential construction, project management, or accessibility adaptations

Role: Licensed Contractor / Technician (if performing physical work)
Requirements:

• Current Arkansas contractor license (as applicable)
• Proof of bonding and liability insurance
• ADA compliance knowledge preferred

Training Requirements for All Staff:

• Home safety and accessibility standards
• Documentation and approval workflows
• HIPAA and confidentiality when entering client homes
• Emergency procedures and risk mitigation

​

7. MEDICAID WAIVER SERVICES

Home Modifications are authorized under:

• Community and Employment Supports (CES) Waiver
• ARChoices in Homecare Waiver (as applicable and pre-authorized)

Approved providers may deliver:

• One-time or episodic home accessibility adaptations
• Consultation and project management services
• Coordination with families, case managers, and inspectors
• Full documentation of completed work, including cost breakdown

​

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: Medicaid and CES Waiver Enrollment
Timeline: 45–90 days

Phase: Licensing and Bonding (if applicable)
Timeline: 30–45 days

Phase: Staff Onboarding and Service Readiness
Timeline: 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 Contractors Licensing Board
Website: https://aclb.arkansas.gov

Arkansas Medicaid Provider Enrollment Portal
Website: https://portal.mmis.arkansas.gov

​​​​​​​​​​​​​​​​​

10. SCOPE OF WORK

• Business registration (LLC, EIN, NPI)
• Medicaid and DDS CES Waiver provider enrollment support
• Contractor licensing and bonding guidance
• Policy & procedure manual for home adaptation projects
• Templates for cost estimates, consent forms, and tracking logs
• Website, domain, and email setup
• Staff credentialing trackers and supervision logs
• Client intake packet, consent forms, and behavior plans
• Incident reporting systems and audit preparation tools
• Referral networking with DDS, case managers, and home care providers

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

We help builders, community-based agencies, and accessibility experts launch compliant Home Modification Services under Arkansas’s CES Waiver program.