Page Reviewed / Updated - Jan. 2016
The Arkansas Independent Choices Waiver follows the Cash and Counseling model. This means that the program grants qualifying state residents a monthly cash allowance to use on their care. The program staff also provides counseling should the recipient or their legal representative require further guidance on how to make use of the funds. Typically, program participants elect to spend the funds on their personal care at home or in an assisted living residence. Also sometimes called consumer directed or participant directed, the waiver allows those, who are able, to reside outside of a nursing home.
An element of the Independent Choices program that makes it particularly attractive to many individuals is that certain family members can be hired and paid to provide personal care services. While one’s spouse and legal guardian cannot be hired, other family members including the adult children of aging parents can be paid for providing care. The hourly rate that these caregivers are paid is regulated by Medicaid. The average rate for home care in Arkansas is $17 / hr and the Medicaid payment rate would be approximately 50% - 75% of that amount.
Arkansas' Independent Choices qualifies adult participants using multiple criteria:
Age - the applicant must be at least 18 years old
Disability Status - the applicant must have a medical need for personal care services and require assistance with their activities of daily living.
Residency - the applicant must legally reside in Arkansas
Financial Status - the applicant must meet the 2016 Medicaid financial eligibility guidelines: monthly income of less than $2,199 and countable assets valued at less than $2,000. These limits are for single applicants. However, an eligible individual’s home, if the individual resides in his or her home, or plans to return home, and the home is valued is under $552,000, is exempt.
Married couples where only one of them is an applicant, and individual applicants who are uncertain whether they meet the financial criteria, should consider working with a Medicaid planner. With married couples, it is important to make sure the non-applicant spouse is given the maximum resources on which to live. With single applicants who don't qualify, but still can't afford their care costs, Medicaid planners can help re-distribute their income into qualifying trusts and convert their countable assets into exempt ones thereby making them Medicaid compliant. Find assistance qualifying for Medicaid.
Independence – the eligible individual must have a desire to direct his or her own personal care. Freedom is given to choose a caregiver, when and how services are received, which services an individual wants, as well as additional items to promote independence and support.
There are 3 categories of personal care related expenses that are paid for by the Independent Choices program.
1) Personal Assistance Services – any assistance provided by a person that helps the program participant to accomplish their activities of daily living such as bathing, dressing, eating and personal hygiene.
2) Products and Services that Increase Independence – these are goods and services that contribute towards decreasing the program participant’s reliance on other persons, such as remote controls for operating lighting or household appliances, as well as technology-enabled services, such as personal emergency response and remote monitoring. Items to improve the health of the eligible individual, such as nutritional supplements and medications not covered by Medicaid may also be purchased via the monthly allowance allotted by this program.
3) Home Modifications and Assistive Technologies – participants can save their monthly compensation to put towards the purchase of higher cost items or services, such as wheelchair ramps, stair-glides, walk-in tubs and other modifications that increase their ability to live independently. Personal emergency response systems may also be covered.
Applicants can live anywhere within the state. Interested families should contact the Independence Choices program directly for more information and to apply. At the time of writing the Arkansas Independent Choice website was still under construction. However, they can be reached by calling at 501-320-6581.