Arkansas Administrative Code

20 CAR § 81-102. Definitions. For the purpose of this part, the following terms are defined: (1) “Advanced emergency medical technician (AEMT)” means a provider certified by the National Registry of Emergency Medical Technicians who is licensed in Arkansas at the advanced EMT lev…

20 CAR § 81-103. Licensure of ambulance services. (a)(1) No person shall furnish, operate, maintain, conduct, advertise, or in any way engage in or profess to engage in the business of providing transport of patients upon the streets and highways of Arkansas unless that person ho…

20 CAR § 81-104. Ground ambulance service licensure classification and general standards. (a) Ambulance service classifications. (1)(A) Licensed community paramedic services shall have vehicles permitted at the community paramedic level. (B) Only licensed paramedic services may o…

20 CAR § 81-105. Permitting of ground emergency vehicles. (a) Application. An application for the issuance or renewal of an emergency vehicle permit shall be made on forms provided by the Department of Health. (b) Ground vehicle general standards. (1) Each vehicle of a licensed g…

20 CAR § 81-106. Air ambulance service licensure classification standards. (a) Air ambulance service classifications standards. Each vehicle of a licensed air ambulance service shall be issued a permit in one (1) of the classifications set forth below: (1) Air medical rotor-wing;…

20 CAR § 81-107. Permitting of air ambulance vehicles. (a) Application. An application for the issuance or renewal of an air ambulance vehicle permit shall be made to the Department of Health with required documentation and payment of fees. (b) Air ambulance vehicle general stand…

20 CAR § 81-108. Approved emergency medical services provider skills. (a)(1) Paramedics and AEMTs may function within their scope of practice while off-duty or while not staffing a permitted ambulance within the licensed ambulance service’s area with whom the EMSP is employed pro…

20 CAR § 81-109. Education, testing, and licensure of EMS providers. (a)(1) The Department of Health shall license or certify individuals for the provision of emergency medical services. (2) EMSPs may not provide patient care without a current Arkansas EMSP license. (3) The Depar…

20 CAR § 81-110. Hospital staffing. For an Arkansas-licensed EMSP to perform skills for which they are licensed within a hospital, the EMSP shall ensure that the following actions have been taken by the hospital: (1)(A) The medical staff must approve the privileges granted to the…

20 CAR § 81-111. General training site and EMS education requirements. (a)(1) The following section pertains to all EMSP training sites. (2) All Arkansas EMSP training sites must be accredited by the Department of Health following the department’s Emergency Medical Services Accre…

20 CAR § 81-112. EMS education program requirements by level. (a) Emergency Medical Responder education programs. (1) The Department of Health shall approve all EMR courses prior to the beginning of any period of instruction. (2)(A) EMR training may only be sponsored by a Departm…

20 CAR § 81-113. EMSP education program prerequisites. (a) No person is eligible to provide care, as defined in this part, without a current Arkansas EMSP license. (b) Requirements for licensure include: (1) AEMT prerequisites for education program. (A)(i) Hold a current state EM…

20 CAR § 81-114. Drugs and pharmaceuticals. (a) Notice of inspection. Investigators and inspectors for the Division of Pharmacy Services and Drug Control and the Department of Health are directed to make investigations and inspections and make copies of the records and orders, wh…

20 CAR § 81-115. Guidelines for traumatically injured patients. (a) Triage of traumatically injured patients. (1) Licensed ambulance services shall appropriately triage all traumatically injured patients using the Field Triage Decision Scheme: The Arkansas Trauma Triage Protocol.…

20 CAR § 81-116. Violations. (a) Regulatory administration. (1) Any authorized representative of the Department of Health shall have the right to enter the premises of any ambulance service, permitted ambulance, or EMS education program at any time in order to make whatever inspe…

20 CAR § 81-117. Apprenticeship. (a) Pursuant to Acts 2021, No. 811, an applicant shall receive an EMSP license if they meet the criteria set forth below. (b) As used in this part, “apprenticeship” means a program that meets the federal guidelines set out in 29 C.F.R. pt. 29, as …

20 CAR § 81-118. Data collection and evaluation system. (a) Purpose. (1) The Department of Health shall develop a process to review nonhospital emergency medical care and time-critical diagnoses and procedures conducted by licensed emergency medical services personnel through a s…

20 CAR § 82-101. Definitions. The following words and terms, when used in this part, shall have the following meaning unless the context clearly indicates otherwise: (1) “Ambulance service” means those services authorized and licensed by the Department of Health to provide care a…

20 CAR § 82-102. Requirements and provisions for the Emergency Medical Services Do Not Resuscitate Order form. (a) The EMS/DNR Order form shall be a document as approved by the State Board of Health, or one (1) created or used by a physician that is consistent with this part. (b)…

20 CAR § 82-104. Implementation procedure. (a) Issuance of an EMS/DNR Order. An EMS Do Not Resuscitate Order may only be issued by the patient’s attending physician. (b) EMS Do Not Resuscitate implementation procedures. Emergency medical services personnel shall comply with the E…

20 CAR § 100-101. Purpose. (a) To protect the health of the citizens of Arkansas, this part is necessary to: (1) Establish and maintain a statewide immunization registry; and (2) Provide for the: (A) Collection of data; (B) Enrollment of and reporting by providers; and (C) Releas…

20 CAR § 100-102. Definitions. For the purposes of this part, the following words and phrases when used herein shall be construed as follows: (1) “Board” means the State Board of Health; (2) “Department” means the Department of Health; (3)(A) "Other persons or organizations" mean…

20 CAR § 100-103. General requirements. (a)(1) A statewide immunization registry shall be established and include data as specified by the Department of Health. (2)(A) All persons under twenty-two (22) years of age receiving immunizations shall be enrolled into the registry. (B) …

20 CAR § 100-104. Penalties. (a)(1) After an opportunity for a fair hearing conducted under the Arkansas Administrative Procedure Act, Arkansas Code § 25-15-201 et seq., a provider found to have administered an immunization to a person under twenty-two (22) years of age without f…

20 CAR § 100-105. Severability. If any provision of this part, or the application thereof to any person or circumstances is held invalid, such invalidity shall not affect other provisions or applications of this part which can give effect without the invalid provisions or applica…

20 CAR § 100-106. Repeal. All rules in conflict herewith are hereby repealed.

20 CAR § 101-101. Purpose. To protect the health of the citizens of Arkansas by ensuring that: (1) Nursing home residents are immunized against influenza annually and pneumococcal disease; and (2) Employees are immunized against influenza annually.…

20 CAR § 101-102. Definitions. For the purposes of this part, the following words and phrases when used herein shall be construed as follows: (1) “Document” means evidence from a person’s physician or healthcare provider in written format indicating the date and place when the in…

20 CAR § 101-103. Specific requirements. (a)(1) All nursing home facilities shall require all residents and full-time or part-time employees to be immunized against influenza disease. (2) Additionally, all residents shall be immunized against pneumococcal disease as a condition o…

20 CAR § 101-104. Exemptions. (a) Medical exemptions for employees. (1) The Department of Health standard form for exemptions must be submitted to the Communicable Disease and Immunization Section. (2)(A) The form must be notarized and accompanied by a letter from a physician sta…

20 CAR § 101-105. Documentation. (a) Permission to administer influenza and pneumococcal vaccine to the residents and influenza vaccine to employees: (1) Is the responsibility of each nursing home; and (2) Must be initiated during admission to the facility. (b) Appropriate vaccin…

20 CAR § 101-106. Responsibilities and implementation. (a) The Department of Health shall provide sufficient quantities of vaccine, supplies, and the staff necessary to immunize the residents and staff members in all nursing home facilities that lack coverage for immunizations th…

20 CAR § 102-101. Purpose. The purpose of this part is to: (1) Provide for the prevention and control of communicable diseases; and (2) Protect the public health, welfare, and safety of the citizens of Arkansas.

20 CAR § 102-102. Definitions. As used in this part: (1) “Board” means the State Board of Health; (2) “Complete quarantine” means the limitation of freedom of movement of such well persons or domestic animals as have been exposed to a communicable disease: (A) For a period of tim…

20 CAR § 102-103. General measures for the control of communicable diseases. The current edition of "Control of Communicable Diseases Manual", published by the American Public Health Association, will generally be accepted for applying control measures for communicable diseases.…

20 CAR § 102-104. Responsibility for reporting. (a) It shall be the duty of every physician, practitioner, nurse, every superintendent or manager of a dispensary, hospital, clinic, nursing or extended care home, any clinical or private laboratory, any person in attendance on a ca…

20 CAR § 102-105. Notifiable diseases and conditions. (a)(1) Notifiable diseases and conditions are to be reported within twenty-four (24) hours of diagnosis to the Department of Health as provided in 20 CAR § 102-104(d). (2) Reports should include: (A) The reporter's: (i) Name; …

20 CAR § 102-106. Diseases and conditions. (a) Notifiable diseases and conditions. Acute Flaccid Myelitis (AFM) Alpha-Gal syndrome Anaplasma phacogytophila Animal bites Anthrax** Arboviral neuroinvasive and non-neuroinvasive diseases Babesiosis Bacillus cereus or Bacillus species…

20 CAR § 102-107. Other diseases. (a)(1) All outbreaks of diseases on the list, or other emerging diseases not specifically mentioned on the list, should be reported immediately, within four (4) hours. (2) To report these diseases, suspected or confirmed, please call: (A) 501-280…

20 CAR § 102-108. Responsibility of the Secretary of the Department of Health. When the Secretary of the Department of Health has knowledge or is informed of the existence of a suspected case or outbreak of a communicable disease: (1) The secretary shall take whatever steps neces…

20 CAR § 102-109. Cease and desist orders. (a) If the Secretary of the Department of Health has reasonable cause to suspect that any person who is HIV-positive is intentionally engaging in conduct that is likely to cause the transmission of the virus, the secretary may issue an o…

20 CAR § 102-110. Isolation. (a) It shall be the duty of the attending physician or other attending medical provider, immediately upon discovering a disease requiring isolation, to cause the patient to be isolated pending official action by the Secretary of the Department of Heal…

20 CAR § 102-111. State and local quarantine. (a) The Secretary of the Department of Health shall impose such quarantine restrictions and rules upon commerce and travel by railway, common carriers, or any other means, and upon all individuals as in his or her judgment, as the Gov…

20 CAR § 102-112. Terminal disinfection. (a) Each person released from quarantine or isolation shall take such measures as are required by the Department of Health for that particular disease. (b) The area of isolation shall be disinfected according to the instructions of the dep…

20 CAR § 102-113. Identification of the body of a deceased person who has been infected by a communicable disease. (a) Any physician or any other person who has reason to believe that a deceased person may have been infected by Creutzfeldt-Jakob disease (CJD) shall immediately af…

20 CAR § 102-114. Protection of emergency response employees. (a)(1) Any emergency response employee who fears that he or she has been exposed to a communicable disease may notify the Department of Health. (2) Upon notification, the department shall determine if the exposure requ…

20 CAR § 102-115. Exclusion and readmission to school or childcare facilities. Under these duly promulgated rules, it shall be the duty of the principal or other person in charge of any public or private schools or childcare facilities, at the direction of the Department of Healt…

20 CAR § 102-116. Tuberculosis. Refer to the Rules Pertaining to the Control of Communicable Diseases — Tuberculosis, 20 CAR pt. 103, State Board of Health, as last amended.

20 CAR § 102-117. Public food handlers. No person known to be infected with a communicable disease, or suspected of being infected with a communicable disease, or who has been found to be a carrier of disease-producing organisms, shall engage in the commercial handling of food, o…

20 CAR § 102-118. Communicable diseases in dairies. (a) When the Department of Health has good cause to believe that a milk supply is suspected to be the source of infection for any one (1) of the communicable diseases known to be transmitted through milk, the department shall pr…