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Elderly Couple

Division of Aging and
Adult Services
PO Box 1437
Slot S-530
Little Rock AR 72203

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Division of Aging & Adult Services


Alternatives
for Adults with Physical Disabilities
AAPD

Alternatives Logo


AAPD is a Medicaid Waiver program that will provide home and community-based services to a limited number of adults with physical disabilities.

What services are available?

AAPD offers two consumer-directed services:

  • Attendant Care: Assistance to accomplish tasks of daily living, based on need and approved by the physician. Based on need, the client may receive up to 8 hours a day, 7 days a week of attendant care. The client shall recruit, hire, supervise and approve payment of the attendant. Although the attendant may be a family member, it may NOT be a spouse or other legally responsible person.
  • Environmental Adaptations: Modifications to the environment that increase independence or accessibility.

Who can apply?

Anyone who:

  • Has a physical disability and income of no more than 300% of SSI

  • Is between 21 and 64 years old

  • Meets eligibility for Intermediate Level Nursing Home Placement
    Note:
    To be eligible for Intermediate level nursing home placement, the individual must require extensive assistance with 1 ADL or limited assistance with 2 ADLs (ADLs considered are transferring/locomotion, eating or toileting), or have a diagnosis of dementia, or have a medical condition that requires daily monitoring by a medical professional. Individuals that required skilled care cannot be served.

  • Has in-home service expenditures of no more than the cost of nursing home placement.

How do I apply?

Contact the Department of Human Services Office in the county of residence to apply for Alternatives. An Alternatives Counselor will arrange to visit in the home to complete an assessment, which must be approved by your physician.

What is the role of the AAPD Counselor?

The AAPD Counselor will:

  • Complete an evaluation that will be the basis for determining eligibility;

  • Develop a plan of care based on the needs and wishes of the client;

  • Assist in enrolling providers of choice;

  • Complete an annual reassessment of needs; and

  • Monitor in home service costs to assure that costs do not exceed the cost of nursing home placement.
If you have questions during any part of the application process, contact the Division of Aging and Adult Services at 1-800-981-4457
or 1-501-682-2443 (TDD)

If you need these materials in an alternative format, such as large print,
audio tape, etc., please contact the
American with Disabilities Act Coordinator
at 1-501-682-8500 or 1-501-682-2443 (TDD)


Division of Aging and Adult Services
Herb Sanderson, Director
PO Box 1437 - Slot S530
Little Rock AR 72203-1437
Telephone: (501) 682-2441
Fax: (501) 682-8155

This page was updated on 2/22/2008 by Ron Tatus.