Proposed Rules for Public Comment

In accordance with federal and state law, the Division of Medical Services of the Arkansas Department of Human Services must advertise and make available for public comment proposed new and amended rules and other documents, such as certain initial waiver requests and waiver renewals.

The proposed rules and other documents in this section have been advertised by public notice in the Arkansas Democrat-Gazette and are available, during the public comment period, for downloading from this website or by written request as instructed below.

The documents are in Microsoft Word or Excel format. When you click the link, the document opens in a new window. To return to this page, close the window. If you click a link and the document doesn’t open, download Microsoft Word Viewer or download Microsoft Excel Viewer free so you can view and print the documents.

To request a copy of the material or to submit comments, write to

Division of Medical Services
Office of Rules Promulgation
P.O. Box 1437 (Slot S295)
Little Rock, Arkansas 72203-1437

Specify in your letter which document or documents you are requesting or on which you are commenting.

If you need this material in an alternative format, such as large print, please contact the Office of Rules Promulgation at 501-320-6266.

Document Date Deadline for Submitting Written Comments File Name File Size Comments, Responses, and Changes to Proposed Policy File Size
Proposed Rule Amendment: SPA-2020-0001-Self-Direction Budget Calculation Methodology and IndependentChoices Provider Manual
(Self-Direction – 1 of 1)
4/10/20 5/9/20 Self-DirectionPckt.pdf 820k
Interested Persons and Providers Letter for State Plan Amendment 2020-0012 – Personal Care Rate
(Perscare – 1 of 3)
3/28/20 4/26/20 IPLtrPersCareRate.doc 83k
Notice of Rule Making for State Plan Amendment 2020-0012 – Personal Care Rate
(Perscare – 2 of 3)
3/28/20 4/26/20 NoRMPersCare.pdf 359k
Interested Persons and Providers Letter for State Plan Amendment 2020-0012 – Personal Care Rate
(Perscare – 3 of 3)
3/28/20 4/26/20 419B13markup.doc 47k
Interested Persons and Providers Letter, Notice of Rule Making, and Proposed State Plan Amendment 2020-007 – Durable Medical Equipment Rate Adjustment
(DME – 1 of 1)
3/28/20 4/26/20 DME-Pckt.pdf 651k
Interested Persons and Providers Letter, Notice of Rule Making, and Proposed State Plan Amendment 2020-0003 – EIDT/ADDT Rate Increase
(EIDT/ADDT – 1 of 1)
3/28/20 4/26/20 EIDT-ADDTPckt.pdf 529k
Interested Persons and Providers Letter, Notice of Rule Making, and Provider Manual updates to Remove Provider Electronic Solutions (PES)
(PES – 1 of 1)
3/28/20 4/26/20 PESRemovalPckt.pdf 4.2MB
Interested Persons and Providers Letter for State Plan Amendment 2020-0011; ARChoices Medicaid Provider Manual, Personal Care Medicaid Provider Manual, and Targeted Case Management Medicaid Provider Manual
(Rule 11 – 1 of 7)
3/22/20 4/20/20 IPLtrMemo-Rule-11.doc 83k
Notice of Rule Making for Rule 11
(Rule 11 – 2 of 7)
3/22/20 4/20/20 NoRMRule-11.pdf 1.3MB
Proposed State Plan Amendment 2019-002 - S131A5 with tracked changes
(Rule 11 – 3 of 7)
3/22/20 4/20/20 S131A5-Markup.doc 42k
Proposed State Plan Amendment 2019-002 - S131A6 with tracked changes
(Rule 11 – 4 of 7)
3/22/20 4/20/20 S131A6-Markup.doc 51k
Proposed ARChoices Medicaid Provider Manual update with tracked changes
(Rule 11 – 5 of 7)
3/22/20 4/20/20 ARCHOICES-3-19prom_tracked.doc 72k
Proposed Personal Care Medicaid Provider Manual update with tracked changes
(Rule 11 – 6 of 7)
3/22/20 4/20/20 PERSCARE-1-19prom_tracked.doc 115k
Proposed Targeted Case Management Medicaid Provider Manual update with tracked changes
(Rule 11 – 7 of 7)
3/22/20 4/20/20 TCM-1-19prom_tracked.doc 65k
Interested Persons and Providers Letter for State Plan Amendment 2019-002, Section 1004 of the SUPPORT Act
(Support – 1 of 5)
3/22/20 4/20/20 IPLtr-SupportAct.doc 83k
Notice of Rule Making for State Plan Amendment 2019-002, Section 1004 of the SUPPORT Act
(Support – 2 of 5)
3/22/20 4/20/20 NoRM-Rule67Support.doc 47k
Proposed State Plan Amendment 74b
(Support – 3 of 5)
3/22/20 4/20/20 74b_mark-up.doc 60k
Proposed State Plan Amendment 74c
(Support – 4 of 5)
3/22/20 4/20/20 74c_mark-up.doc 69k
Proposed State Plan Amendment 74d
(Support – 5 of 5)
3/22/20 4/20/20 74d_mark-up.doc 71k
Interested Persons and Providers Letter for Hospice (HOSPICE-1-19) and State Plan Amendment SPA 2020-0010
(SPA 20-0010 – 1 of 6)
3/22/20 4/20/20 IPLtrSPA20-0010.doc 196k
Proposed State Plan Amendment SPA 2020-0010
(SPA 20-0010 – 2 of 6)
3/22/20 4/20/20 SPA2020-0010clean.doc 55k
Proposed State Plan Amendment SPA 2020-0010 with tracked changes
(SPA 20-0010 – 3 of 6)
3/22/20 4/20/20 SPA2020-0010tracked.doc 54k
Proposed HOSPICE-1-19 Transmittal Letter
(SPA 20-0010 – 4 of 6)
3/22/20 4/20/20 HOSPICE-1-19.doc 91k
Proposed HOSPICE-1-19 provider manual update
(SPA 20-0010 – 5 of 6)
3/22/20 4/20/20 HOSPICE-1-19Clean.doc 66k
Proposed HOSPICE-1-19 provider manual update with tracked changes
(SPA 20-0010 – 6 of 6)
3/22/20 4/20/20 HOSPICE-1-19tracked.doc 69k

The following documents are no longer available for public comment. The policy in these documents is proposed and subject to change until it has been approved as final policy. Current policy can be found in the “Provider information” section of this website. View “What’s new for providers.”
View “Provider manuals, notices of rule making, official notices, and RA messages.”

Document File Name File Size Comments, Responses, and Changes to Proposed Policy File Size
Notice of Rule Making for Ambulatory Surgical Center Manual (ASC-1-19)
NoRM-ASC.doc 43k
Proposed Ambulatory Surgical Center Manual changes (ASC-1-19)
ASC-1-19prom-tracked.doc 103k
Proposed PHYSICN-5-19 provider manual update with tracked changes PHYSICN-5-19prom-tracked.doc 53k
Notice of Rule Making for Billing Changes to Global OB (Obstetrics) Services (Physicians provider manual) NoRM-GlobalOB.pdf 286k
Notice of Rule Making - Rule 30 Living Choices Assisted Living Rate Change NoRM-LCALRateChge.doc 37k  LCALComment.pdf 132k
Living Choices Assisted Living Home and Community-Based Services Medicaid Waiver LCALWvrAmend.doc 100k 
Living Choices Assisted Living Medicaid Provider Manual LCAL-1-19prom_tracked.doc 58k 
Draft Application for Autism Waiver HCBSWaiverAppDraft.pdf 1.1MB 
Proposed Autism Waiver Provider Manual AUTISM-1-19prom.doc 159k 
Proposed Autism Waiver Provider Manual with Tracked Changes AUTISM-1-19prom-tracked.doc 178k 
DHS Participant Exclusion Rule Policy1088ParticipantExclusionRule.pdf 249k
Proposed ARKids First-B Provider Manual Update (ARKIDS-2-19) ARKIDS-2-19-tracked.doc 64k
Proposed Certified Nurse-Midwife Provider Manual Update (CNM-1-18) CNM-1-18-tracked.doc 45k
Proposed Dental Provider Manual Update (DENTAL-1-18) DENTAL-1-18-tracked.doc 44k
Proposed Early and Periodic Screening, Diagnosis, and Treatment  Provider Manual Update (EPSDT-1-19) EPSDT-1-19-tracked.doc 88k
Proposed Nurse Practitioner Provider Manual Update (NURSEPRA-3-18) NURSEPRA-3-18-tracked.doc 44k
Proposed Pharmacy Provider Manual Update (PHARMACY-1-19) PHARMACY-1-19-tracked.doc 59k
Proposed Physician Provider Manual Update (PHYSICN-3-18) PHYSICN-3-18-tracked.doc 51k
Hospital 3-19 SMA Newborn Screening Hospital-3-19.pdf 207k
Medical Services Policy Manual Sections E-600 and E-630—Achieving a Better Life Experience (ABLE) Program SectionE-600ABLE.doc 134k
PCCM SPA 2018-0013 Summary PCCM-Summary 39k
State Plan Amendment 2018-0013 Mark Up 1932aSPA-PCCM-Mark-up.pdf 622k
Proposed ARKIDS-3-18 Transmittal Letter ARKIDS-3-18.doc 204k
Proposed ARKIDS-3-18 Provider Manual Update with Tracked Changes ARKIDS-3-18promtrack-changes.doc 96k
Proposed EPSDT-1-18 Transmittal Letter EPSDT-1-18.doc 189k
Proposed EPSDT-1-18 Provider Manual Update with Tracked Changes EPSDT-1-18promtrack-changes.doc 98k
State Plan Amendment 2019-001 SPA19-001markup.doc 96k
Proposed ARKIDS-4-18 Provider Manual Update with Tracked Changes ARKIDS-4-18-tracked.doc 61k
Proposed DOMCARE-1-18 Provider Manual Update with Tracked Changes DOMCARE-1-18-tracked.doc 147k
Proposed SecI-5-18 All Provider Manuals Update with Tracked Changes SecI-5-18-tracked.doc 143k
Proposed SecIII-4-18 All Provider Manuals Update with Tracked Changes SecIII-4-18-tracked.doc 60k
SPA#2019-0009, SecV-2-19, TRANSP-1-19, Administrative Procedures for the Emergency Medical Transportation Assessment Fee and Access Payments SPA19-0009-SecV-Transp.pdf 494k

The Arkansas Department of Human Services is in compliance with Titles VI and VII of the Civil Rights Act and operates, manages and delivers services without regard to religion, disability, political affiliation, veteran status, age, race, color or national origin.