As used in this subpart:

1. (1)

   1. (A) “Evidence-based disease prevention program” means a process of planning, implementing, and evaluating programs adapted from tested models or interventions in order to address health issues in a social ecological context.
   2. (B) In an evidence-based disease prevention program, the proposed intervention is based on rigorously conducted research with published results;
2. (2) “Greatest economic need” means the need resulting from an income level at or below poverty levels set by the United States Bureau of the Census;

3. (3) “Greatest social need” means the need caused by noneconomic factors which include:

   1. (A) Physical and mental disabilities;
   2. (B) Limited English proficiency; and
   3. (C) Cultural, social, or geographical isolation which restrict an individual’s ability to perform normal daily tasks or threaten his or her capacity to live independently;

4. (4)

   1. (A) “Health promotion and disease prevention” includes:

      1. (i) Health risk assessments;
      2. (ii) Routine health screenings;
      3. (iii) Nutritional counseling and education for individuals and their primary caregivers;

      4. (iv) Evidence-based health promotion programs, including but not limited to programs related to:

         1. (a) (a) The prevention and mitigation of the effects of chronic disease including:
5. (1) (1) Osteoporosis;
6. (2) (2) Hypertension;
7. (3) (3) Obesity;
8. (4) (4) Diabetes; and

9. (5) (5) Cardiovascular disease;

   1. (b) (b) Alcohol and substance abuse reduction;

      1. (c) (c) Smoking cessation;

      2. (d) (d) Weight loss and control;

         1. (e) (e) Stress management;
         2. (f) (f) Fall prevention;
         3. (g) (g) Physical activity; and
         4. (h) (h) Improved nutrition;

      3. (v) Programs regarding physical fitness, group exercise, music therapy, art therapy, and dance movement therapy, including programs for multigenerational participation that are provided by:

         1. (a) (a) An institute of higher learning;
         2. (b) (b) A local education agency as defined in Section 14101 of the Elementary and Secondary Education Act of 1965, 20 U.S.C. § 8801; and
      4. (c) (c) A community-based organization;
      5. (vi) Home injury control services, including screening of high-risk home environments and provision of educational programs on injury prevention, including fall and fracture prevention, in the home environment; and
      6. (vii) Medication management screening and education to prevent incorrect medication and adverse drug reactions.
   2. (B) The term shall not include services for which payment may be made under Title XVIII of the Social Security Act, 42 U.S.C. § 1395 et seq., and Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq.; and

10. (5)

    1. (A) “Wellness” means an active lifelong process of becoming aware of choices and making decisions toward a more balanced and fulfilling life.
    2. (B) Process: individuals never arrive at a point where there is no possibility of improvement.
    3. (C) Aware: individuals are by nature continuously seeking more information about how they can improve.
    4. (D) Choices: individuals have considered a variety of options and have selected those that seem to be in their best interest.

Codification Notes: This section as promulgated prior to codification into the Code of Arkansas Rules provided as follows: “9-1-12”