Independent Choices

IndependentChoices, as well as ARChoices, falls under the broad group of Medicaid-funded programs called Self-Directed with Service Budget. These programs allow adults with physical disabilities and people who are older to live independent, community-centric lives while receiving in-home care. IndependentChoices is the nation’s flagship self-directed home and community-based services program, and Palco has been involved since the beginning.

For more information about this program, contact the Arkansas Department of Human Services, Division of Aging and Adult Services, or Palco at 866-710-0456.

Participant/Employer Forms

Biweekly Payment Schedule

Change of Information

Designation of a Surrogate Employer

Employer Enrollment Packet

Employer Reimbursement Request

Employment Termination

Termination of a Representative

Timesheet - Attendant Care

Timesheet - PC & Attendant Care

Timesheet - Personal Care(PC)

Timesheet Instructions

Worker Forms

AR4EC State Withholding

Biweekly Payment Schedule

Change of Information

Direct Deposit Authorization Agreement

I-9 Employment Eligibility

W-4 Federal Withholding

Worker Employment Packet