
If you're caring for someone with Down syndrome or another disability, you’ve likely heard about the IDD (Intellectual Developmental Disability) Waiver—but figuring out who qualifies in Arkansas can feel like a maze. We’ll cover who can get IDD waiver services, what the program covers, and how it can lead to better care and support for your loved one.
Key Takeaways:
- Firstly, the Arkansas IDD Waiver (CES Waiver) provides in-home, community support for people with intellectual and developmental disabilities.
- Additionally, services include help with daily living, therapy, job and life skills training, respite care, and home modifications.
- To be eligible, you must be diagnosed with IDD before age 22, need care similar to nursing home level, and meet Medicaid income guidelines (based on individual income).
- To start the application process, you need to call 501-683-5687 to join the waitlist; notably, no paper form is needed initially.
- Furthermore, the average wait time exceeds 10 years; however, urgent cases may request a diversion slot.
- Importantly, support is person-centered, and families help design the care plan.
- Moreover, case managers coordinate across home, school, and work, and families can choose Consumer Directed Services.
- Each year, Kepro helps assess needs, manages care plans, and supports providers.
- Lastly, local DDS offices, Easterseals Arkansas, and advocacy groups assist with services and appeals..

The IDD Waiver Program in Arkansas
The IDD Waiver Program in Arkansas helps people with significant care needs. This program improves lives by providing support at home instead of institutional settings.
You may qualify for help with cleaning, cooking, and moving safely in your home. You might also receive transportation to doctors and assistance with job skills. The waiver covers therapy, such as speech or behavior services. It can also fund home or car changes needed for safety—especially valuable for those with difficulty walking or hearing. Every plan is unique. It’s based on what works for you.
Assistance for Individuals with Intellectual and Developmental Disabilities
IDD waiver services primarily provide home-based care, assistance with daily tasks, and guidance toward personal goals. Additionally, the waiver allows people to live with their families or independently. Furthermore, it supports learning and decision-making. Many participants, in particular, want to work or engage more in their communities. The program actively supports these choices.
Programs of Arkansas
Arkansas emphasizes local, community-based support, and Easterseals Arkansas is leading the way with its Home-Based Care – Waiver Services. This program empowers individuals with disabilities to live independently by delivering personalized care directly in their homes. By working closely with families and community partners, Easterseals ensures services are not only tailored to each person’s unique needs but also grounded in the cultural and social fabric of their local community. Supports range from daily living assistance and skill-building to health and safety monitoring, making care more accessible, effective, and meaningful.
Eligibility for IDD Waiver Services in Arkansas
To get IDD waiver services in Arkansas, you must meet requirements for age and diagnosis, level of care needed, and income. Let’s go over each one.
Age and Diagnosis Requirements
You must have a documented IDD diagnosis that started before age 22. That includes autism, Down syndrome, or traumatic brain injury in childhood. You can apply as a child or adult, as long as the condition began early.
Functional and Financial Eligibility Criteria
First and foremost, you must require care similar to what someone in a nursing home receives. This typically involves help with daily needs such as eating, dressing, or moving. In order to determine this, a trained evaluator will visit your home to assess the situation. This crucial step is known as a level of care review.
Second, your personal income must be low enough to qualify for Medicaid. Only your income counts—not your parents’ or partner’s. That means many children still qualify, even when families earn more. Income sources like SSI or child support are counted. To check your rights, the state posts them here.
IDD Waiver Services for Children
Just like adults in need, children with IDD can qualify. This helps many families. If a small child has serious needs, even at age three or four, waiver services can pay for care at home instead of a facility.
Once approved, services grow as the child does. A five-year-old may get speech support. At thirteen, they may receive job coaching. Although the child’s needs change, the program stays consistent.
Apply early. Even with a long wait, your child can move up in line while they’re still young.
Services Covered Under the IDD Waiver in Arkansas
Respite Care
Families can receive respite care through Arkansas’s IDD waiver. This gives caregivers a break, essential for staying balanced. Care can happen at home or in community settings. It provides relief and helps families continue giving long-term care.
Residential and Employment Support Services
For residential services, people may live in places set up to offer the right help. These could be shared homes or other housing models with support staff for daily needs, medication, and meals.
For employment, the waiver offers coaching and job-matching help. A coach may support learning job tasks or adjusting to a new role. These services build confidence and offer income opportunities.
Are daily living and therapy services provided?
Yes, the waiver includes support for learning life skills and receiving therapy.
This involves lessons on cooking, hygiene, and staying healthy, along with therapy services like speech, physical, and behavioral support. These help individuals grow and manage their routines.
Learn more at services for adults with disabilities in Arkansas. To see how another state handles similar care, visit the Medicaid Personal Care site.
Services depend on the person's priorities. When you apply, your team creates a plan based on what is most helpful to you or your child.
Understanding IDD Waiver Services in Arkansas: A Complete Guide
IDD waiver services in Arkansas help individuals with intellectual and developmental disabilities (IDD) live full lives at home and in their communities. These services offer support with personal care, jobs, therapy, and more. Arkansas calls this the Community and Employment Support (CES) Waiver, and it is a powerful tool for families seeking long-term assistance.
Whether you're a caregiver, parent, or self-advocate, this guide makes it easier to understand the process, from application to services, and everything in between.
IDD Waiver Services Provide Respite and Relief to Families
One of the most important IDD waiver services in Arkansas is respite care. This gives families and caregivers a much-needed break by providing temporary care, either in the home or in a supported setting. This service helps prevent burnout and allows families to continue giving long-term support.
Respite care can be scheduled regularly or used during emergencies, giving families flexibility and peace of mind.
Residential and Employment Support Are Included in the IDD Waiver
IDD waiver services also include both residential support and employment assistance. For those who cannot live independently, supported living homes or shared housing with staff are available. These homes offer help with daily routines, medications, meals, and safety.
For those who want to work, the waiver provides job coaching and employment preparation. Coaches help individuals learn job tasks, build confidence, and find the right work match—paving the way toward independence and income.
Daily Living Skills and Therapy Services Are Also Covered
Under Arkansas’s IDD waiver, individuals can receive support with:
- Cooking and meal planning
- Personal hygiene
- Managing health routines
- Physical, occupational, speech, or behavioral therapy
These services are tailored to each person’s needs and goals. To explore more, visit the Services for Adults with Disabilities in Arkansas.
The IDD Waiver Application Process Starts With a Phone Call
To begin receiving IDD waiver services, call the Developmental Disabilities Services (DDS) Waiver Office at 501-683-5687. This puts you on the waiting list for the CES Waiver. There is no paper application at this stage.
Once your name rises to the top, you’ll receive the full application to complete. The process includes:
- Submitting income and medical documentation
- Completing a Medicaid application
- Meeting with a state evaluator
Because the wait time is long, applying early is strongly recommended—even if you don’t need services right away.
Application Paperwork and Documentation Requirements
While there is no downloadable application, once you’re on the list, the state will send you the forms. You’ll need:
- Birth certificate
- Social Security card
- Medical diagnosis documentation (autism, cerebral palsy, etc.)
- Proof of income and assets
Only the applicant’s (usually the child’s) income is considered. Many families also apply for SSI (Supplemental Security Income) to help with eligibility.
Waiting Lists for IDD Waiver Services Can Be Long
The IDD waiver waiting list in Arkansas can last 10 years or more. Demand is high, and only a limited number of spots are available each year.
Your position on the list depends mostly on when you applied. In rare cases, families may qualify for a diversion slot if there’s an urgent need (e.g., risk of hospitalization).
To stay on the list:
- Update contact info yearly
- Respond to state requests promptly
- Keep documentation and proof of need up to date
Families can explore other Medicaid waivers while waiting to increase their chances of receiving services.
Case Managers
Once approved, a case manager is assigned to help plan and manage your IDD waiver services. They:
- Firstly, meet with you and your child to design a care plan.
- Secondly, coordinate services between school, home, and therapy providers.
- Lastly, adjust the plan as needs change.
Therefore, a good case manager ensures services remain consistent and family involvement is encouraged at every step.
Person-Centered Planning Guides All Services
In Arkansas, all IDD waiver services are indeed based on person-centered planning. Consequently, your child's interests, goals, and needs lead the way. Together with your team, you'll thoughtfully decide:
- Which services to include
- Where they should take place
- Who will provide them
Supports can include various options such as:
- Cooking classes
- Communication devices
- Community outings
- Job training
- Home safety modifications
This approach ensures that the support is tailored precisely to your needs.
Kepro and IDD Waiver Services
Kepro is the state’s partner in managing IDD waiver services. They assist in several key areas.
- Firstly, they review eligibility each year to ensure ongoing compliance.
- Additionally, they keep services aligned with state guidelines, maintaining consistency.
- Moreover, they train providers and support staff, enhancing the quality of care.
Furthermore, families can use Kepro’s online portal to track care, request changes, and monitor what services are being used. This tool, in turn, helps families stay organized and informed.
Families Help Shape the Support Planning Process
After approval, your care team meets to build a support plan. This includes:
- Personal care schedules
- Therapy goals
- Transportation needs
- Emergency contacts
The planning process typically takes a few weeks to a few months. During this time, you can choose your providers, request changes, and even hire through Consumer Directed Services (CDS), which ultimately gives you more control.
Consumer-Directed Services Allow More Flexibility
With Consumer Directed Services, families can:
- Hire their own caregiver
- Choose a family member (in some cases)
- Train and supervise staff
This model gives families more control over their support system and allows for personalized care.
Advocacy and Support Organizations Can Help You Apply
You don’t have to do this alone. Several organizations help families access and understand IDD waiver services in Arkansas:
These groups also assist with appeals, denials, and case management concerns.
Resources Help Families Stay Informed and Empowered
To stay updated on waiver rules and changes:
- Visit the Arkansas Department of Human Services
- Check with your DDS caseworker regularly
- Ask about additional state and federal waiver options
You can also explore the Pathways to Empowerment program at Easterseals for more ways to get involved.
You Play the Most Important Role in Building a Care Plan
Whether you’re just starting or already approved, remember: your voice matters. You know your child’s needs best. Track your calls, write down new goals, and speak up during meetings. Good planning leads to great support.
We’re here for you. Easterseals Arkansas can help you understand, apply for, and manage IDD waiver services. Don’t wait to get the support your family needs. Contact Us Today to Get Started.