The Secretary of the Department of Human Services shall adopt rules necessary to implement and administer this subchapter, including without limitation: 
(1) Procedures for a long-term care facility to notify the Office of Long-Term Care of admissions; and 
(2) 
(A) Procedures by which a person in a long-term care facility may decline options counseling for long-term care. 
(B) 
(i) These procedures shall include a form promulgated by the Department of Human Services for use by a long-term care facility. 
(ii) The form shall be limited to one (1) page and shall: 
(a) Be orally read to the resident or, if applicable, the resident's representative by long-term care facility staff except as provided in this subdivision (2)(B)(ii); 
(b) List the date; 
(c) State the name of the resident or, if applicable, the resident's representative; 
(d) Contain checkboxes indicating that: 
(1) The office was notified of the admission; 
(2) The form was not read orally to the resident or resident's representative because the resident lacks decisional capacity and does not have a representative; and 
(3) The resident or the resident's representative declined the options counseling for long-term care; 
(e) Contain a statement and an acknowledgment that options counseling for long-term care is an optional program and may be declined by execution of the form; 
(f) Be signed by the resident or, if applicable, the resident's representative; and 
(g) Be retained by the long-term care facility in the resident's admission file for eighteen (18) months or until the next standard survey, whichever is longer. 
Structure Arkansas Code
Title 20 - Public Health and Welfare
Subtitle 2 - Health and Safety
Chapter 10 - Long-Term Care Facilities and Services
Subchapter 21 - Arkansas Options Counseling for Long-Term Care Program
§ 20-10-2103. Arkansas Options Counseling for Long-Term Care Program — Creation — Administration