(a)

1. (1) No person, partnership, association, corporation, or other organization, whether public or private, proprietary or nonprofit, shall provide home health services in the State of Arkansas without a licensed fully operational physical location within the state.

2. (2) Each agency office:

   1. (A) Will be located within the geographic area identified in the Certificate of Need or Permit of Approval; and
   2. (B) May provide services up to one hundred (100) miles from the parent agency or branch office.

(b) Branch office.

1. (1)

   1. (A)

(i) The parent home health agency shall submit an application to notify the Division of Health Facilities Services in advance of the plan to establish a branch office by completing the Home Health Agency Notification for Branch Office form.

1. (ii) See Form HHA-001.

   1. (B) Included in the notification application shall be a description of:

      1. (i) The services to be provided;
      2. (ii) The geographic area to be served by the branch office; and
      3. (iii) A description of exactly how supervision by the parent agency will occur.
   2. (C) All branch offices shall be subject to survey by the division.

2. (2) The parent agency must provide direct support and administrative control of its branches, to include:

   1. (A) Board of directors or other corporate governing body oversight;
   2. (B) Contracted services;
   3. (C) Quality assurance and performance improvement plan;
   4. (D) Policy and procedure implementation;
   5. (E) Staffing;
   6. (F) Human resource management;
   7. (G) Disposition of closed clinical records; and
   8. (H) Staff training.