ABA Therapy in Arkansas: Understanding the ARChoices Waiver

What Is the ARChoices Waiver?

The ARChoices waiver is Arkansas' 1915(c) Medicaid Home and Community-Based Services (HCBS) waiver. It is administered by the Arkansas Department of Human Services (DHS) Division of Developmental Disabilities Services (DDS). This waiver allows individuals with intellectual disabilities or related conditions, including autism spectrum disorder (ASD), to receive long-term services and supports in their own homes and communities instead of institutional settings.

For families seeking applied behavior analysis (ABA) therapy, ARChoices can be a vital funding source. ABA is a well-recognized, evidence-based intervention for autistic individuals. Under the waiver, ABA therapy is available to help build communication, social, and daily living skills.

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Eligibility for ARChoices

To qualify for the ARChoices waiver, applicants must meet specific criteria set by DHS. These include:

• Residency and age: Must be an Arkansas resident and meet age requirements (typically birth through age 21, but some waivers extend beyond). ARChoices primarily serves individuals under 22, though there are other waivers for adults.
• Diagnosis: A documented diagnosis of intellectual disability or a related condition such as autism spectrum disorder. The condition must have originated before age 22 and be expected to continue indefinitely.
• Level of care: The individual must require a level of care equivalent to that provided in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). This is determined by DHS assessment.
• Financial criteria: Income and asset limits apply. For most Medicaid waivers, the individual's income must be below a certain threshold (often up to 300% of the federal benefit rate). Family income may not count for children under 18, but for adults, it is based on the individual's own income and assets.

How to Apply for the ARChoices Waiver

Applying for ARChoices involves several steps. First, contact the DDS local office in your county. You can also call the DHS Autism Unit or the Waiver Enrollment Hotline. A caseworker will guide you through the application, which includes medical and financial documentation.

After submission, DHS reviews the application and determines eligibility. If approved, you will be placed on a waiting list for a waiver slot. Unfortunately, ARChoices has a limited number of slots, and the wait can be months or even years. It's crucial to apply as soon as possible. Once a slot becomes available, your case manager will help you develop a Person-Centered Service Plan (PCSP) that includes the specific ABA therapy services needed.

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Does ARChoices Cover ABA Therapy?

Yes, ABA therapy is a covered service under the ARChoices waiver when it is medically necessary and prescribed by a licensed professional. Services must be provided by a Board Certified Behavior Analyst (BCBA) or a qualified provider under BCBA supervision. The waiver covers assessment, treatment planning, direct therapy, and parent training.

It's important to note that ARChoices does not cover all ABA services automatically. The PCSP must specify the type, frequency, and duration of ABA therapy. The provider must be enrolled as a Medicaid ARChoices provider and meet all state requirements. Families should work with their case manager and ABA provider to ensure the plan aligns with waiver guidelines.

Finding an ABA Provider in Arkansas That Accepts ARChoices

Finding a BCBA-led clinic that accepts ARChoices can be challenging due to provider shortages and high demand. Many local ABA providers contract with the waiver, but slots fill quickly. Here are some practical tips:

• Ask your DDS case manager for a list of providers who take ARChoices in your area.
• Search the Arkansas Medicaid provider directory for BCBA services.
• Contact regional autism support organizations for recommendations.

Apply for ABA is a free matching service that helps Arkansas families connect with vetted, BCBA-led providers who participate in the ARChoices waiver and other insurance plans. We understand that navigating waivers and provider lists can be overwhelming. By submitting a simple request, we match you with therapists who have availability and experience with state-funded waivers. There is no cost to you, and you are under no obligation.

Costs and Coverage for Families

For eligible individuals, the ARChoices waiver covers ABA therapy at no direct cost. There are no monthly premiums, deductibles, or copays for most waiver services. However, families may be responsible for personal care or minor expenses not included in the PCSP. Because it is a Medicaid waiver, providers cannot balance-bill families for covered services.

Note that ARChoices is a fee-for-service waiver; providers submit claims to Medicaid and receive reimbursement at a set rate. This rate is often lower than commercial insurance, which may limit provider participation. To expand options, families can also combine ARChoices with private insurance or other benefits when available.

Common Mistakes to Avoid

• Waiting too long to apply: The waiting list can be long. Apply for ARChoices as early as possible, even before a formal ABA prescription is in hand.
• Not staying in touch with DDS: Keep your case manager updated on changes of address, diagnosis, or service needs. Failure to respond to renewal notices can result in losing your slot.
• Assuming any ABA provider works: Not all providers accept ARChoices or have experience with Medicaid billing. Verify participation before starting services.
• Ignoring the person-centered plan: The PCSP must detail ABA services. Work closely with your provider to write clear, measurable goals that match waiver requirements.
• Overlooking other state resources: In addition to ARChoices, Arkansas offers early intervention through the Better Beginnings program for children under 3, and the Autism Waiver (for certain age groups). Explore all options.

Practical Next Steps

If you think your family member may qualify for the ARChoices waiver to fund ABA therapy, begin by gathering medical records, a diagnosis letter from a qualified professional (e.g., MD, psychologist), and financial information. Contact the DDS waiver enrollment office at 1-800-482-8856 or visit the DHS website for applications.

For a list of BCBA-led ABA providers in your area that accept ARChoices, turn to sources you trust. Apply for ABA offers a free referral service that does the legwork for you. We partner with Arkansas clinics that are licensed, insured, and dedicated to ethical, effective therapy. Our goal is to reduce the stress of finding care so your family can focus on progress.

Remember: you are not alone. Thousands of Arkansas families have used the ARChoices waiver to access life-changing ABA therapy. With the right guidance and support, you can navigate this process and help your loved one thrive.