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Reimbursement rates for one-to-one supportive living services for individuals with intellectual and developmental disabilities (I/DD) in Arkansas are 19% below the modeled payment rates included in a Milliman rate study commissioned by the Arkansas Department of Human Services (DHS) under Act 1023 of 2025. The legislatively-mandated rate study was intended to develop minimum payment rates for the state’s consideration, with modeled payment rates developed based on state and federal service requirements, a range of national and state data sources, and provider feedback.

The current average payment rate for a 15-minute unit of 1:1 . . .

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Cognitive Disabilities