LITTLE ROCK, Ark. — Thousands of Arkansans with profound disabilities and who are growing older rely on the ARChoices program through Medicaid, administered by the AR Department of Human Services. 

Under the program, these clients receive care in their home, based on allocated hours, instead of being institutionalized. Recently, DHS implemented a computer algorithm to allocate hours by interpreting nurses’ in-home assessments of patients. 

Some say that’s resulted in cuts that could lead these people to live in nursing homes. DHS says this is an objective system that uses state resources efficiently, and the ultimate goal is to help as many people as possible. 

But there are known problems. This series explores those problems, the consequences, and what’s being done to fix it.

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