Arkansas Department of Human Services

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



Elderchoices is an Arkansas Medicaid home and community-based waiver program designed for the elderly population. ElderChoices, approved effective August 1, 1991, is designed for persons who due to physical, cognitive or medical reasons, require a level of assistance that would have to be provided in a nursing facility, if it were not for the services offered through this program. The major goal of this program is to provide services that assist eligible persons to remain in their homes or live with family in order to prevent or delay institutionalization.

The services offered through this program include:

  • Homemaker — provides basic upkeep and management of the home. Services include laundry, shopping, errands, simple household tasks and meal preparation.
  • Chore — includes heavy cleaning and/or yard maintenance ONLY in extreme, specific circumstances, when lack of these services would make the home uninhabitable.
  • Home-Delivered Meals — provides one nutritious home-delivered meal each day to individuals who are homebound, unable to prepare their own meals or have no one to prepare meals for them.
  • Personal Emergency Response System (PERS) ― an in-home, 24-hour electronic alarm system that enables an elderly, homebound person to summon help in an emergency.
  • Adult Day Care — a group program designed to provide individuals with care, socialization and supervision in a licensed adult day care facility.
  • Adult Day Health Care — a group program that provides an organized program of continued rehabilitative, therapeutic, supportive health and social services activities, in addition to basic day care.
  • Respite — provides temporary relief to a primary caregiver who is providing long-term care for individuals in their homes. It may be provided outside the client’s home to meet an emergency need or as periodic scheduled relief.
  • Adult Family Homes — a family living environment for those who are functionally impaired, incapable of living alone and are at imminent risk of death or serious bodily harm.
  • Adult Companion — companions may assist or supervise clients with tasks, such as meal preparation, laundry, light housekeeping, bathing, eating, dressing and personal hygiene when these services are required in accordance with a therapeutic goal. These services must be essential to the health and welfare of the client and are needed because of the absence of the client’s family. Companion services must be furnished outside the timeframe of other waiver services and state plan personal care.

In addition to ElderChoices services, waiver recipients may receive other Medicaid covered services such as physician visits, some prescription drugs, personal care and others.

Need More Information?

If you need more information about the ElderChoices Program or have concerns regarding your ElderChoices services, please call:

Need An Application?

If you would like an application for the ElderChoices Program, please call or visit your local DHS County Office

  • Comments, Suggestions, or Questions
  • Division of Aging and Adult Services
    PO Box 1437 Slot S-530
    Little Rock AR 72203-1437
    (501) 682-2441
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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