AR SB236

Establishes licensure requirements for prescribed pediatric extended care centers (facilities serving 3+ medically or technologically dependent children unrelated to the owner) through the Department of Health, with a 2-year license term and renewal process requiring 60-120 days advance notice.

Requires applicants to submit location documentation, background checks for owners and staff, financial viability letters, proof of accounting/finance personnel with 5+ years experience, and comply with zoning requirements and building/fire codes.

Permits the Department of Health to deny, suspend, or revoke licenses and impose fines up to $500 per violation (maximum $5,000 aggregate) for violations or disciplinary action, with opportunities for corrective action plans before penalties.

Specifies that licensed centers serve minors age 21 and younger for no more than 12 hours per 24-hour period based on physician prescription, parental consent, and voluntary admission, and prohibits centers from providing 24-hour care or services to non-dependent children.

Requires the Arkansas Medicaid Program to reimburse licensed prescribed pediatric extended care centers for services and develop a new Medicaid provider type, with the Department of Human Services authorized to apply for federal waivers or state plan amendments as needed.