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Arkansas Department of Human Services

Division of Aging and Adult Services
For Seniors | For Adults with Physical Disabilities


Alternatives for Adults with Physical Disabilities

AAPD is a Medicaid Waiver program that provides home and community-based services to adults with physical disabilities.

What services are available?
AAPD offers the following services:

  • Attendant Care: Assistance in accomplishing tasks of daily living based on need and approved by a physician. Based on need, a client may receive up to 8 hours a day, 7 days a week of attendant care. There are two types of attendant care. In consumer-directed attendant care, clients recruit, hire, supervise and approve payment of attendants. In agency attendant care, clients choose an agency to provide an attendant for them. Although the attendant may be a family member, it may NOT be a spouse or other person legally responsible for the client.
  • Environmental Accessibility Adaptations/Adaptive Equipment: Adaptive equipment and modifications to the living environment that increase independence or accessibility.
  • Case Management and Counseling Support: Counseling Support Managers provide orientation to the concept of consumer-direction and training on how to recruit, interview, hire, evaluate, supervise, manage or dismiss attendants. Counseling Support Managers provide support services to all AAPD waiver clients, monitoring their needs and assisting the client in continuing to live as independently as possible.

Who can apply?
Anyone who:

  • Has been declared physically disabled through SSI/SSA or Medical Review Team
  • Meets financial eligiblility
  • Is between 21 and 64 years old
  • Meets eligibility for Intermediate Level Nursing Home Placement

How do I apply?
Contact your local DHS County Office to apply for Alternatives. An Alternatives RN/Counselor will arrange to visit you at home to complete an assessment, which must be approved by your physician.

Alternatives for Adults with Physical Disabilities Brochure - PDF

If you have questions during any part of the application process, contact the Division of Aging and Adult Services at 501-682-2441 or 1-501-682-2443 (TDD) or the Choices in Living Resource Center at 1-866-801-3435.

If you need these materials in an alternative format, such as large print, audio tape, etc., please contact the
Americans with Disabilities Act Coordinator at 1-501-682-8500 or 1-501-682-2443 (TDD).

Division of Aging and Adult Services
PO Box 1437 - Slot S530
Little Rock AR 72203-1437
Telephone: (501) 682-2441
Fax: (501) 682-8155

DHS Division of Aging and Adult Services | P.O. Box 1437 - Slot S-530 | Little Rock, AR 72203-1437 | 501.682.2441 | eMail
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