AR HB2227

Establishes a new subchapter (20-48-1101 et seq.) creating certification and licensure requirements for child health management services programs, developmental day treatment clinic services for children, and successor programs to control Medicaid cost expansion.

Requires Division of Developmental Disabilities Services to determine if a county is "underserved" before approving new early intervention day treatment services, with a 60-day review period and appeal rights to the Office of Appeals and Hearings.

Establishes priority order for approving expansion applications: existing operations in underserved counties first, followed by existing operations from other counties, then accredited entities (local, statewide, or out-of-state).

Amends Arkansas Code §§ 20-48-101 and 20-48-105 to clarify that accreditation and underserved status requirements apply to programs serving adults with developmental disabilities, not just children.

Declares the act an emergency effective July 1, 2013, citing the need for managed expansion to ensure economic efficiency and adequate rural geographic coverage under Medicaid.