Arkansas Code Title 20. Public Health and Welfare § 20-10-808. Licenses--Application--Form--Fee

(1) File a written application on a form prescribed by the Division of Health Facilities Services;

(2) File with the application the name of the owner of the agency or a list of names of persons who own an interest in the agency and a list of any businesses with which the agency subcontracts and in which the owner or owners of the agency hold as much as five percent (5%) of the ownership;

(3) Establish a place of business within the State of Arkansas that maintains home healthcare services records and directs patient services;

(4) Cooperate with any inspections the division may require for a license and comply with rules and standards promulgated under this subchapter; and

(5) Pay to the division a license fee as prescribed by § 20-10-812.

(1) For a Class A license, if the applicant is at the time of filing an application a Medicare-certified home health agency, the applicant shall provide proof of its compliance with federal conditions of participation. If the applicant is not at the time of filing its application a certified home health agency, it shall be in the process of receiving its certification from the Center for Medicare & Medicaid Services; and

(2) For a Class B license, the applicant shall show proof of the home healthcare services provided and the geographical territory in which those home healthcare services have been provided as of July 20, 1987, and it shall have requested a survey for the purposes of confirming the home healthcare services provided and the territory covered.