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 Policy Coordination and 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.

Document Date Deadline for Submitting Written Comments File Name File Size Comments, Responses, and Changes to Proposed Policy File Size
Interested persons and providers letter for State Plan Amendment 2018-005 - Outpatient Hospital Services for Border Hospitals
(SPA005 – 1 of 3)
5/17/18 6/15/18 IPLtrSPA18-005.doc 180k 
Proposed State Plan Amendment 2018-005 - Outpatient Hospital Services for Border Hospitals with Tracked Changes
(SPA005 – 2 of 3)
5/17/18 6/15/18 SPA2018-005-Markup.doc 28k 
Proposed State Plan Amendment 2018-005 - Outpatient Hospital Services for Border Hospitals
(SPA005 – 3 of 3)
5/17/18 6/15/18 SPA2018-005.doc 28k 
Interested persons and providers letter for Section I All Provider Manuals Update
(SecI – 1 of 4)
5/14/18 6/12/18 IPLtrSecI-2-18.doc 180k 
Proposed SecI-2-18 All Provider Manuals Update Transmittal Letter
(SecI – 2 of 4)
5/14/18 6/12/18 SecI-2-18.doc 185k 
Proposed SecI-2-18 All Provider Manuals Update with tracked changes
(SecI – 3 of 4)
5/14/18 6/12/18 SecI-2-18prom-tracked.doc 45k 
Proposed SecI-2-18 All Provider Manuals Update
(SecI – 4 of 4)
5/14/18 6/12/18 SecI-2-18prom.doc 46k 

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
Proposed State Plan Amendment 2018-009 with tracked changes SPA18-009-tracked.doc 40k 
Proposed State Plan Amendment 2018-009 SPA18-009.doc 41k 
Proposed TRANSP-1-18 Provider Manual Transmittal Letter TRANSP-1-18.doc 196k 
Proposed TRANSP-1-18 Provider Manual Update with tracked changes TRANSP-1-18up_tracked.doc 74k
Proposed TRANSP-1-18 Provider Manual Update TRANSP-1-18up.doc 73k 
Proposed State Plan Amendment 2018-008 with tracked changes SPA18-008-tracked.doc 36k 
Proposed State Plan Amendment 2018-008 SPA18-008.doc 37k 
Proposed THERAPY-1-18 Provider Manual Update Transmittal Letter THERAPY-1-18.doc 200k CommentsResponses.doc
SupportADDT-EIDT.doc
MemoClarificationsfromComment.doc
ADDTclarifiedfromComments.doc
EIDT-ClarifiedfromComments.doc
EIDTinfoGraphic.pdf
TherapyClarificationsfromComment.doc
SPA2018-008TherapyMarkup.doc
DDS-1035.doc
3.8MB
139k
131k
196k
225k
173k
143k
36k
38k
Proposed THERAPY-1-18 Provider Manual Update with tracked changes THERAPY-1-18up_tracked.doc 137k 
Proposed THERAPY-1-18 Provider Manual Update THERAPY-1-18up.doc 130k 
Proposed SecV-3-18 All Provider Manuals Update Transmittal Letter SecV-3-18.doc 187k 
Proposed SecV-3-18 All Provider Manuals with tracked changes Update SecV-3-18up_tracked.doc 355k 
Proposed SecV-3-18 All Provider Manuals Update SecV-3-18up.doc 336k 
Proposed Form DMS-632 with tracked changes DMS-632prom-tracked.doc 41k 
Proposed Form DMS-632 DMS-632prom.doc 40k 
Proposed Form DMS-638 with tracked changes DMS-638prom-tracked.doc 48k 
Proposed Form DMS-638 DMS-638prom.doc 48k 
Proposed Form DMS-640 with tracked changes DMS-640prom-tracked.doc 89k 
Proposed Form DMS-640 DMS-640prom.doc 75k 
Proposed State Plan Amendment 2018-007 with tracked changes SPA18-007-tracked.doc 43k 
Proposed State Plan Amendment 2018-007 SPA18-007.doc 40k 
Proposed ADDT-New-18 Provider Manual Transmittal Letter ADDT-New-18.doc 184k CommentsResponses.doc
SupportADDT-EIDT.doc
MemoClarificationsfromComment.doc
ADDTclarifiedfromComments.doc
EIDT-ClarifiedfromComments.doc
EIDTinfoGraphic.pdf
TherapyClarificationsfromComment.doc
SPA2018-008TherapyMarkup.doc
DDS-1035.doc
Proposed ADDT-New-18 Provider Manual with tracked changes ADDT-New-18up_tracked.doc 195k 
Proposed ADDT-New-18 Provider Manual ADDT-New-18up.doc 195k 
Proposed ADDT fee schedule ADDT-fees.doc 49k 
Proposed DDS Standards for Certification Investigation and Monitoring with tracked changes DDSstandardsCIM-tracked.doc 365k 
Proposed DDS Standards for Certification Investigation and Monitoring DDSstandardsCIM.doc 365k 
Proposed State Plan Amendment 2018-004 with tracked changes SPA18-004-tracked.doc 43k 
Proposed State Plan Amendment 2018-004 SPA18-004.doc 42k 
Proposed CHMS-1-18 Provider Manual Update Transmittal Letter CHMS-1-18.doc 184k 
Proposed CHMS-1-18 Provider Manual Update with tracked changes
CHMS-1-18up-tracked.doc 423k 
Proposed EIDT-New-18 Provider Manual Update Transmittal Letter EIDT-New-18.doc 184k CommentsResponses.doc
SupportADDT-EIDT.doc
MemoClarificationsfromComment.doc
ADDTclarifiedfromComments.doc
EIDT-ClarifiedfromComments.doc
EIDTinfoGraphic.pdf
TherapyClarificationsfromComment.doc
SPA2018-008TherapyMarkup.doc
DDS-1035.doc
Proposed EIDT-New-18 Provider Manual Update with tracked changes EIDT-New-18prom-tracked.doc 223k 
Proposed EIDT-New-18 Provider Manual Update EIDT-New-18prom.doc 222k 
Proposed EIDT fee schedule EIDT-fees.doc 50k 
Proposed DDTCS-1-18 Provider Manual Update Transmittal Letter DDTCS-1-18.doc 184k 
Proposed DDTCS-1-18 Provider Manual Update with tracked changes DDTCS-1-18up_tracked.doc 307k 
Proposed DDS Standards for Certification Investigation and Monitoring with tracked changes DDSstandCIM-tracked.doc 365k 
Proposed DDS Standards for Certification Investigation and Monitoring DDSstandCIM.doc 365k 
State Plan Amendment 2018-002 with tracked changes SPA-18-002-tracked.doc 38k 
State Plan Amendment 2018-002 SPA-18-002.doc 37k 
Proposed FQHC-1-18 Transmittal Letter FQHC-1-18.doc 183k 
Proposed FQHC-1-18 Provider Manual Update with tracked changes FQHC-1-18up_tracked.doc 45k 
Proposed FQHC-1-18 Provider Manual Update FQHC-1-18up.doc 44k 
Proposed HOSPITAL-1-18 Transmittal Letter HOSPITAL-1-18.doc 184k 
Proposed HOSPITAL-1-18 Provider Manual Update with tracked changes HOSPITAL-1-18up_tracked.doc 68k 
Proposed HOSPITAL-1-18 Provider Manual Update HOSPITAL-1-18up.doc 67k 
Proposed OBHS-2-18 Transmittal Letter OBHS-2-18.doc 190k 
Proposed OBHS-2-18 Provider Manual Update with tracked changes OBHS-2-18up_tracked.doc 218k 
Proposed OBHS-2-18 Provider Manual Update OBHS-2-18up.doc 202k 
Proposed PHYSICN-1-18 Transmittal Letter PHYSICN-1-18.doc 190k 
Proposed PHYSICN-1-18 Provider Manual Update with tracked changes PHYSICN-1-18up_tracked.doc 91k 
Proposed PHYSICN-1-18 Provider Manual Update PHYSICN-1-18up.doc 51k 
Proposed RURLHLTH-1-18 Transmittal Letter RURLHLTH-1-18.doc 184k 
Proposed RURLHLTH-1-18 Provider Manual Update with tracked changes RURLHLTH-1-18up_tracked.doc 43k 
Proposed RURLHLTH-1-18 Provider Manual Update RURLHLTH-1-18up.doc 43k 
Proposed SecI-1-18 Transmittal Letter SecI-1-18.doc 185k 
Proposed SecI-1-18 All Provider Manuals Update with tracked changes SecI-1-18up_tracked.doc 53k 
Proposed SecI-1-18 All Provider Manuals Update SecI-1-18up.doc 53k 
Proposed SecIII-1-18 Transmittal Letter SecIII-1-18.doc 184k 
Proposed SecIII-1-18 All Provider Manuals Update with tracked changes SecIII-1-18up_tracked.doc 46k 
Proposed SecIII-1-18 All Provider Manuals Update SecIII-1-18up.doc 46k 
Medical Services Policy Manual Section I-325 – TEFRA Renewal with tracked changes
SectionI-325-Markup.doc 75k
Medical Services Policy Manual Section I-325 – TEFRA Renewal SectionI-325.doc 75k
1098 Appeals and Hearings Procedures-Tracked Changes 1098AppealsHearingsProcedures-Markup.doc 60k 
1098 Appeals and Hearings Procedures 1098AppealsHearingsProcedures.doc 61k 
OLTC Rules and Regulations for Conducting Criminal Record Checks for Employees of Long Term Care Facilities - Tracked Changes CriminalBckgrdCheckRegs-Tracked.doc 181k
OLTC Rules and Regulations for Conducting Criminal Record Checks for Employees of Long Term Care Facilities CriminalBckgrdCheckRegs.doc 181k
Criminal Records Check (DMS-736) Update - Tracked Changes dms_736-Markup.doc 181k
Criminal Records Check (DMS-736) Update dms_736.doc 181k
Medical Services Policy Manual Sections A-210, B-500, D-372 and D-373 DCO_A-210.pdf 980k
State Plan Amendment 2017-012 with tracked changes SPA17-012tracked.doc 34k
State Plan Amendment 2017-012 SPA17-012.doc 35k
Section I all provider manuals update transmittal letter SecI-4-17.doc 185k
Section I all provider manuals update with tracked changes SecI-4-17up-tracked.doc 48k
Section I all provider manuals update SecI-4-17up.doc 48k
CHIRO-1-17 provider manual update transmittal letter CHIRO-1-17.doc 186k
CHIRO-1-17 provider manual update with tracked changes CHIRO-1-17up-tracked.doc 108k
CHIRO-1-17 provider manual update CHIRO-1-17up.doc 107k
Section I Transmittal Letter All Provider Manuals Update SecI-6-17.doc 184k
Section I All Provider Manuals Update - Tracked-Changes SecI-6-17up-tracked.doc 43k
Section I All Provider Manuals Update SecI-6-17up.doc 43k
Medical Services Policy A-180; C-120; C-130; C-150, E-265 and E-270 and State Plan 2017-015 SPA17-015.pdf 814k
State Plan Amendment 2017-010 Attachment 3.1 A SPA010-Attach3-1A.doc 69k SPA2017-010.doc
RCRProgramSummary-Comment.doc
Responses-10-01-17.pdf
Comments-AttachA.pdf
Comments-AttachB.pdf
74k
24k

976k
370k
660k
State Plan Amendment 2017-010 Attachment 3.1 B SPA010-Attach3-1B.doc 70k
Residential Community Integration Program Certification ResCommReintCert.doc 177k DHSResComReintCertification.doc
Responses-10-01-17.pdf
Comments-AttachA.pdf
Comments-AttachB.pdf
178k
976k
370k
660k
Inpatient Psychiatric (INPPSYCH-1-17) Provider Manual Update Transmittal Letter INPPSYCH-1-17.doc 188k
INPPSYCH-1-17 Provider Manual Update INPPSYCH-1-17up.doc 53k
Outpatient Behavioral Health Services (OBHS-1-17) Provider Manual Update Transmittal Letter OBHS-1-17.doc 184k
OBHS-1-17 Provider Manual Update OBHS-1-17up.doc 51k
Request to Amend Arkansas Works 1115 Demonstration Waiver Application ARWorksWvr-Amended.pdf 387k Public Comments 5MB
Episodes of Care transmittal letter EPISODE-7-16.doc 185k
EPISODE-7-16 provider manual update EPISODE-7-16up.doc 44k
EPISODE-6-16 Provider Manual Update Transmittal Letter EPISODE-6-16.doc 186k
EPISODE-6-16 Provider Manual Update EPISODE-6-16up.doc 46k
Access Monitoring Review Plan AccessPlan.pdf 2.8MB
Home and Community-Based Services (HCBS) Statewide Settings Transition Plan HCBS-Plan.pdf 2.7MB
EPISODE-4-16 Provider Manual Update Transmittal Letter EPISODE-4-16.doc 189k
EPISODE-4-16 (Urinary Tract Infection) Provider Manual Update EPISODE-4-16up.doc 60k
EPISODE-3-16 Provider Manual Update Transmittal Letter EPISODE-3-16.doc 188k
EPISODE-3-16 (Uncomplicated Pediatric Pneumonia) Provider Manual Update EPISODE-3-16up.doc 53k
EPISODE-2-16 Provider Manual Update Transmittal Letter EPISODE-2-16.doc 188k
EPISODE-2-16 (Appendectomy) Provider Manual Update EPISODE-2-16up.doc 52k
EPISODE-1-16 Provider Manual Update Transmittal Letter EPISODE-1-16.doc 188k
EPISODE-1-16 (Hysterectomy) Provider Manual Update EPISODE-1-16up.doc 52k
Application for a §1915(c) Home and Community- Based Services Waiver - Draft DDSACSWaiver.pdf 3.9MB
Arkansas Works Application Draft ARWorksApp.pdf 555k CommentsARWorksApp.pdf 17MB
Application for a §1915(c) Home and Community-Based Services Waiver HCBSWvrApp.pdf 3.6MB  —  —
Home And Community-Based Services (HCBS) Statewide Settings Transition Plan ARHCBS-STP-Narrative.pdf 132k ARHCBS-STP-Comments.pdf 36k
Home and Community-Based Services - Settings Transition Plan
Elderly, Physical and Developmental Disability Waivers Attachment
ARHCBS-STP-Timeline.pdf 200k  —  —

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.