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Dates and Deadlines

All states must submit to CMS a plan for transitioning their current HCBS system into compliance with the new rule by March 17, 2015. States submitting a 1915(c) waiver renewal or amendment before March 17, 2015 must include a transition plan in that submission. States then have 120 days from that submission date to submit a transition plan for the remainder of their HCBS system.

Arkansas has two waivers expiring before March 17, 2015. The Elder Choices 1915(c) and Alternative Community Services 1915(c) waivers both expire on June 30, 2014.

  • The Elder Choices wavier provides adult day health, homemaker, respite, adult-family home, and other community services for adults over age 65.
  • The Alternative Community Services waiver provides case management, respite, supported employment, supportive living, and other community services for individuals of all ages with autism and other developmental disabilities.

The state must submit a plan to transition the HCBS provided under these waivers with their application for renewal. The state the has 120 days from the time they submit the renewal application to submit a plan for the remainder of the Arkansas Medicaid HCBS system. For more information visit

Large Stakeholder meeting held Tuesday August 23, 2016 at the I. Dodd Wilson building room 126 at UAMS. This meeting was used as a public hearing to receive comments about the most recent version of the Statewide Transition Plan the State will be submitting to CMS. View the plan and public notice here. Below  you will find the remote sites; additional info – Patricia Ivy (

  • Texarkana (15 Seats)
    • UAMS AHEC Southwest
      300 East 6th St.
      Texarkana, AR 71854
  • Jonesboro (16 Seats)
    • UAMS AHEC Northeast
      223 East Jackson
      Jonesboro, AR 72401
  • Fayetteville (12 Seats)
    • AHEC Northwest
      Administration Boardroom
      1125 North College Avenue
      Fayetteville, AR 72703

State Documents

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NEW – Final approved plan: On June 2, 2017, CMS granted Arkansas final approval of their STP.  Final approval was granted because the state completed both its systemic assessment and its site-specific assessment, included the outcomes of both assessments in the STP, outlined remediation strategies to rectify issues that both assessments uncovered, and laid out its heightened scrutiny, ongoing monitoring and relocation processes. Arkansas will need to provide quarterly written updates, and participate in quarterly phone discussions with the CMS team to review the state’s progress in implementing the STP. In addition, the state must work collaboratively with CMS to identify any areas that may need strengthening with respect to the state’s remediation, relocation, and heightened scrutiny processes as they implement each of the key elements of their state transition plan. Arkansas will have until 2022 to come into full compliance

Initial Approval with Milestones and a Resubmission Date. This letter is the communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, the STP is sufficient, but systemic and/or site-specific assessments are not yet completed.  The response to the state will vary dependent on whether the state has or has not identified settings that are presumed to have institutional characteristics and any information the state may wish CMS to consider under the heightened scrutiny process. November 7, 2016

Clarifications and/or Modifications required for Initial Approval (CMIA): This letter notifies states that public comment, input and summary requirements are met, but CMS has identified issues that must be resolved in the Statewide Transition Plan (STP) prior to initial approval. CMS sent this letter to Arkansas on September 16th, 2015.

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