Signature Authority for Diabetic Shoes and Shoe Inserts (Concerning 20 CAR pt. 641)
Department of Human Services · Division of Medical Services
- Status
- Final
- Citation
- 20 CAR pt. 641
- Docket
- 016.29.26-013F
- Comment deadline
- Jul 27, 2026
- Public hearing
- Jul 15, 2026
- ALC review
- Sep 17, 2026 · item B.4.a · ALC Administrative Rules
- Effective
- — · Arkansas Register October 2026
- Agency contact
- Mac Golden
Statement of Necessity Act 431 of 2025 clarified that advanced practice registered nurse and physician assistant signature authority for durable medical equipment includes, without limitation, orthotics, prosthetics, and diabetic shoes or shoe inserts that are designed to reduce the risk of skin breakdown in patients with diabetes and existing foot disease and to relieve pressure to prevent diabetic foot ulcers. The Division of Medical Services (DMS) promulgates this rule to implement Act 431.
A public hearing was held on this rule on July 15, 2026. The public comment period expired on July 27, 2026. The agency indicated that it received no public comments.
Experimental. Compiled from public records; inaccuracies may occur. Verify with official sources.