1. (a)

   1. (1) Licenses expire on August 31 of the renewal year, and applications and documentation must be submitted by July 2 of the renewal year to be timely.
   2. (2) Renewal will only occur upon receipt of application and favorable review of required activity reports by the Department of Health.
   3. (3) This review will ensure that the LLM has acted in accordance with this part.

2. (b) Applications for renewal for LLMs who have been continuously licensed in the State of Arkansas prior to the effective date of this part, and who have never received certification as a CPM, must include:

   1. (1) A completed application for renewal provided by the department;

   2. (2)

      1. (A) A copy of both sides of current certification in adult and infant cardiopulmonary resuscitation (CPR).
      2. (B) Approved CPR courses include courses that are approved by NARM.
      3. (C) Note.

3. (i) Only certification from courses which include a hands-on skills component are accepted.

   1. (ii) Online-only courses are not accepted.

      1. (D) It is the responsibility of the licensee to ensure this certification is current at all times and documentation must be provided upon request;

   2. (3)

      1. (A) A copy of both sides of current certification in neonatal resuscitation through a course approved by NARM.

      2. (B) Note.

         1. (i) Only certification from courses which include a hands-on skills component are accepted.
         2. (ii) Online-only courses are not accepted.
      3. (B) It is the responsibility of the licensee to ensure this certification is current at all times and documentation must be provided upon request; and

   3. (4)

      1. (A) Documentation of thirty (30) hours of continuing clinical education within the past three (3) years.

      2. (B) Continuing education units (CEUs) and contact hours will be approved according to the following guidelines:

         1. (i) A maximum of five (5) hours may be granted for documented peer review;
         2. (ii) CPR or neonatal resuscitation courses may not be used as part of your CEU totals; and
         3. (iii) Workshops or conferences relevant to the clinical practice of midwifery in Arkansas that are sponsored by the following organizations are preapproved by the Licensed Lay Midwifery Advisory Board for CEUs:
4. (a) (a) American College of Nurse Midwives;

5. (b) (b) American College of Obstetrics and Gynecology;

   1. (c) (c) The department;

      1. (d) (d) International Childbirth Education Association;
6. (e) (e) La Leche League International;
7. (f) (f) University of Arkansas for Medical Sciences;
8. (g) (g) Midwifery Education Accreditation Council (MEAC);

9. (h) (h) Any state nurses association; and

   1. (i) (i) Arkansas Osteopathic Medical Schools.

      1. (c) Applications for renewal for the LLM licensed by the department and certified as a CPM, CNM, or CM or having a certification previously approved by the department (17 CAR § 47-202(1)(E)) must include:
   2. (1) A completed application for renewal in a format provided by the department;

   3. (2)

      1. (A) Proof that the relevant credential is current.

      2. (B) Documentation may be received in the form of:

         1. (i) Verification letter sent directly from the certifying agency; or
         2. (ii) Notarized copy of the certificate;

   4. (3)

      1. (A) A list of all professional health-related licensure in other jurisdictions on the renewal application.
      2. (B) The department may request verification; and

   5. (4)

      1. (A) The department may request additional documentation to support applicants’ qualifications or certifications.

      2. (B) It is the responsibility of the licensee to ensure relevant credentials are current at all times and documentation must be provided upon request.

         1. (d)
   6. (1) The Arkansas Rules Examination must be taken for each licensing period within one hundred eighty (180) days prior to the expiration of the midwifery license.
   7. (2) A score of eighty percent (80%) or higher must be achieved.

   8. (3) The test for renewal of licenses will be available:

      1. (A) On the department website; or
      2. (B) By contacting the Women’s Health Section of the department for information.
   9. (4) The applicant must submit a copy of the certificate of completion with the application for license renewal.
10. (e) All final decisions by the department denying renewal of license may be appealed to the State Board of Health pursuant to the Arkansas Administrative Procedure Act, Arkansas Code § 25-15-201 et seq.

Codification Notes: "CM" means certified midwife. "CNM" means certified nurse midwife. "CPM" means certified professional midwife. "LLM" means licensed lay midwife. "NARM" means North American Registry of Midwives.