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Feb 17 2026

Waiver Application Process: What are the Key Steps?

waiver application process

Navigating the waiver application process for CES Waiver Services in Arkansas can feel overwhelming, especially when your loved one with intellectual or developmental disabilities needs community-based support. At First Step, Inc., we've guided hundreds of Arkansas families through this journey. We’ll break down the waiver application process step by step, helping you understand what's required, avoid common mistakes, and also secure the services your family needs.

Key Takeaways:

  • The CES Waiver application process helps Arkansans with intellectual or developmental disabilities receive community-based care instead of institutional placement
  • Over 4,500 people are waiting for CES Waiver slots in Arkansas: apply early, even before services are urgently needed
  • The waiver application process involves 7 key steps: application submission, PASSE attribution, care coordinator assignment, approval, provider selection, First Step application, and residential application (if needed)
  • First Step Inc guides families through the complete waiver application process: call (501) 624-6468 for assistance
  • CES Waiver services include supported living, employment support, non-medical transportation, adaptive equipment, and also community experiences
  • The Person Centered Service Plan is reviewed annually and lists all services the individual needs
  • Healthcare coverage is available during the wait through Access Arkansas, traditional Medicaid, ARKids First, TEFRA, or SSI Medicaid
  • Choosing First Step as your provider means partnering with an experienced Arkansas organization with offices

​Understanding the CES Waiver Application Process in Arkansas

The waiver application process for Arkansas's Community and Employment Support (CES) Waiver allows individuals with intellectual or developmental disabilities (IDD) to access Home and Community-Based Services. These waivers help people receive care in their communities rather than in institutional settings.

The CES Waiver is a state and federally funded program that promotes inclusion through community experiences and also provides coordination of access to available services. The waiver application process opens doors to services like supported living, non-medical transportation, specialized medical supplies, adaptive equipment, and supplemental support.

What Makes the CES Waiver Application Process Important?

The CES Waiver serves children and adults with developmental disabilities, supporting them in all major life activities such as living independently and working at a job with help from an employment coach. An individual who has been approved through the process is provided the choice of residing in the least restrictive setting with Waiver Services and other supports rather than residing in an institutional setting.

One of the most important features of the Waiver Program is the Person Centered Service Plan. This service plan lists all the different services the individual will need and is also reviewed annually by the individual's team.

Arkansas CES Waiver Waitlist Reality

Across the state of Arkansas, there are more than 4,500 people waiting for a CES Waiver slot. Arkansans of all ages with IDD may apply for the waiver application process. It is imperative to apply as early as possible so that services are not delayed when they are needed.

This significant waitlist makes early application critical. Don't wait until services become urgent; begin the waiver application process as soon as developmental disabilities are identified.

Step-by-Step CES Waiver Application Process

At First Step, we want to assist you with the waiver application process. Contact our Home & Community Based Services office at (501) 624-6468. We will guide you in marking off the items on the checklist below and answering any questions you may have along the way.

Complete Checklist for the Waiver Application Process

Here are the essential steps you need to complete during the waiver application process:

Step 1: CES Waiver Submission

Begin the waiver application process by submitting your initial application to the Arkansas Division of Developmental Disabilities Services (DDS). This formal application initiates your journey toward receiving community-based services. By starting early, you can also ensure timely access to the essential support your loved one needs. Moreover, early submission allows you to avoid unnecessary delays. Consequently, your loved one can benefit from services precisely when they are needed.

What this step involves:

  • Completing the official Arkansas CES Waiver application forms
  • Providing documentation of your loved one's intellectual or developmental disability
  • Submitting proof of Arkansas residency
  • Including diagnostic evaluations and medical records

Critical tip: Apply as early as possible. With over 4,500 Arkansans waiting, your place in line is also determined by application date., Starting the process early, even before all services are immediately neededensures you don't face unnecessary delays when support becomes urgent.

Step 2: Attributed to a PASSE

Once your application is submitted, the next phase of the process involves being attributed to a PASSE (Provider-led Arkansas Shared Savings Entity). Arkansas uses PASSEs to coordinate care for individuals with developmental disabilities.

What this step involves:

  • Assignment to one of Arkansas's PASSE organizations
  • Initial contact from your assigned PASSE
  • Beginning the care coordination process

Your PASSE will also play a crucial role throughout the application process and beyond, coordinating services and ensuring you receive appropriate support.

Step 3: PASSE Care Coordinator Information

During this phase of the waiver application process, you'll receive information about your assigned PASSE Care Coordinator. This person becomes your primary contact for navigating services and answering questions.

What your PASSE Care Coordinator does:

  • Guides you through the remaining waiver application process steps
  • Also helps identify appropriate services for your loved one
  • Coordinates between different service providers
  • Additionally assists with annual plan reviews
  • Addresses issues or concerns as they arise

Keep your Care Coordinator's contact information readily accessible; they're your advocate throughout the application process and also your ongoing service delivery.

Step 4: CES Waiver Approval

After you complete the necessary assessments and eligibility reviews, you'll receive a notification regarding your CES Waiver approval status. This critical milestone in the waiver application process confirms that your loved one not only qualifies for services but also has reached the top of the waitlist.

Approval in the CES Waiver application process signifies a major step forward for families seeking community-based support for their loved ones with intellectual or developmental disabilities. It means eligibility has been verified, a CES Waiver slot is available, and you can proceed with selecting service providers. Additionally, it's the starting point for person-centered planning, which tailors services to meet the unique needs of the individual. First Step, Inc. is here to support you in navigating this journey, ensuring a smooth transition into receiving the essential services your family requires.

If additional information is needed, the application process may also require supplemental documentation. Respond promptly to any requests to prevent delays.

If your application is denied, you have appeal rights. First Step can help you understand denial reasons and navigate the appeals process.

Step 5: Provider Choice Form Completed

Once approved through the waiver application process, you'll complete a Provider Choice Form. This important document allows you to select which organization will deliver your CES Waiver services.

Choosing First Step as your CES Waiver Provider:

When you select First Step Inc on your Provider Choice Form, you're partnering with an experienced Arkansas organization dedicated to supporting individuals with intellectual and developmental disabilities. Our team understands the process thoroughly and additionally provides comprehensive, person-centered services.

Why families choose First Step:

  • Experienced staff trained in developmental disabilities support
  • Commitment to community inclusion and independence
  • Person-centered approach respecting individual goals and preferences
  • Comprehensive service offerings, including supported living, employment support, and community experiences
  • Local Arkansas presence with offices in Hot Springs, Malvern, Fordyce, and Glenwood
  • Ongoing family support and care coordination
  • Online guidebooks to help clarify the process

Completing your Provider Choice Form is a pivotal moment in the application process; it determines who will walk alongside your family in the years ahead.

Step 6: First Step CES Waiver Application

After selecting First Step as your provider, you'll complete our internal First Step CES Waiver Application. This step in the application process also allows us to gather detailed information specific to our service planning.

What First Step's application covers:

  • Detailed personal and medical history
  • Current support needs and daily living activities
  • Goals for community inclusion and independence
  • Preferences for service delivery
  • Family involvement and support systems
  • Communication needs and methods

This information helps First Step create a truly personalized service plan during the waiver application process and ensures we understand your loved one's unique needs, strengths, and aspirations.

Step 7: First Step/On Our Own Residential Application (If Applicable)

If residential services are part of your service needs, you'll also need to complete the First Step/On Our Own Residential Application. Not everyone requires this step in the application process; it applies specifically to individuals seeking also supported living arrangements.

When residential applications are needed:

  • Your loved one plans to live independently with support
  • Supported living services are identified as a need
  • Community residential options fit your loved one's goals

What residential applications address:

  • Housing preferences and needs
  • Level of support required for independent living
  • Health and safety considerations
  • Community integration goals
  • Transportation needs

First Step's residential services are designed to support individuals in living as independently as possible within their communities, with the right level of assistance to ensure safety and success.

Support During the Application Process

Healthcare Coverage While Waiting

If you need healthcare coverage while you are on the waiting list during the application process, you can apply through the Access Arkansas website to find out if you are eligible for programs like traditional Medicaid, ARKids First, or TEFRA.

You may also apply for Supplemental Security Income (SSI) Medicaid.

Educational Resources for the Waiver Application Process

Understanding the process for you, your loved one, or a person in your care is important. For more information about the process, eligibility, and available services, review the DDS Adults with Disabilities Service Guide and First Step’s Essential Guide for Home and Community-Based Services (HCBS) Waiver Program.

Additional Arkansas DDS Resources

The Division of Developmental Disabilities Services website provides comprehensive information about the waiver application process and can be found here.

Additionally, you can contact the Division of Developmental Disabilities Services directly.

CES Waiver Services Available Through the Application Process

Once you complete the waiver application process, your Person Centered Service Plan will identify which services best meet your loved one's needs. The CES Waiver can provide various services such as:

  • Supported Living: Assistance with daily living activities, helping individuals live as independently as possible in community settings.
  • Non-Medical Transportation: Transportation to work, community activities, medical appointments, and other essential destinations.
  • Specialized Medical Supplies: Equipment and supplies necessary for health and safety not covered by other programs.
  • Adaptive Equipment: Devices and modifications that support independence and accessibility.
  • Supplemental Support: Additional assistance beyond core services to ensure success in community living.
  • Community Experiences: Support for participation in community activities, promoting social inclusion, and also quality of life.
  • Employment Support: Assistance with finding and maintaining employment, including job coaching and workplace supports.

The waiver ensures services are tailored to individual needs through the Person Centered Service Plan, which is reviewed annually by the individual's team.

waiver application process

Common Questions About the Waiver Application Process

Application Processing Times

The timeline varies significantly based on the current waitlist length. With over 4,500 Arkansans waiting for CES Waiver slots, wait times can extend from months to several years. This is why applying early in the waiver application process is so important.

Applying for Children

Arkansans of all ages with intellectual or developmental disabilities may apply. Starting the waiver application process early, even during childhood, ensures services are available when they become necessary.

Assistance Completing the Waiver Application Process

First Step, Inc. provides comprehensive assistance throughout the waiver application process. Contact our Home & Community Based Services office at (501) 624-6468. Our experienced team will guide you through each step, help you gather necessary documentation, and answer any questions.

In the Event of Denial

If your application is denied, you have appeal rights. First Step can help you understand the reasons for denial, gather additional documentation, and navigate the appeals process. Don't give up: many successful applications involve persistence and proper documentation.

Partnering with First Step Inc for Your Application Process

At First Step, we understand that navigating the waiver application process can feel overwhelming. Our mission is to support individuals with intellectual or developmental disabilities in all major life activities, helping them live in communities rather than institutional settings.

Our Approach to the Waiver Application Process

Personalized Guidance: Every family's journey is different. We provide individualized support throughout the waiver application process, ensuring you understand each step and feel confident moving forward.

Experience You Can Trust: First Step has years of experience with Arkansas's CES Waiver system. We know the process inside and out and can also help you avoid common pitfalls.

Comprehensive Support: From initial application through ongoing service delivery, First Step is your partner. We don't just help you through the waiver application process; we also provide quality services once approved.

Local Arkansas Presence: With offices throughout Arkansas, First Step is part of your community. We understand local resources and can connect you with additional support during the waiting period.

Person-Centered Philosophy: We believe every individual has unique strengths, goals, and needs. Our approach to the waiver application process and service delivery also reflects this commitment to seeing and supporting the whole person.

Take the First Step Today

The waiver application process for Arkansas's CES Waiver opens doors to services that transform lives: supporting independence, community inclusion, and quality of life for individuals with intellectual or developmental disabilities. While the process requires patience due to waitlist realities, the long-term benefits make early application essential.

With more than 4,500 Arkansans waiting for CES Waiver slots, every day matters. Don't delay starting your application; contact First Step, Inc. today.

Categorized: First Step Services

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