Okla. Admin. Code § 310:530-1-2

Current through Vol. 41, No. 19, June 17, 2024
Section 310:530-1-2 - Definitions

The following words or terms, when used in this Chapter, shall have the following meaning, unless the context clearly indicates otherwise:

"Attributable analysis period" means the most recently completed period for which cost and client encounter data is available.

"Client" means a female or male of reproductive age who requests family planning services.

"Commissioner of Health" and "Commissioner" mean the Oklahoma State Commissioner of Health, the chief executive officer of the Department. References in the subchapter to the Commissioner may include a designee of the Commissioner of Health. Designations shall be subject to such powers and limitations as are specified in writing.

"Contraceptive methods" means any Federal Drug Administration (FDA) approved medication or method that prevents pregnancy.

"Delivered product" means a contraceptive device or pharmacological substance administered or given to the client for use or consumption.

"Department" means the Oklahoma State Department of Health.

"Examination service" means a qualified family planning service described in the Family Planning Policies and Procedures Manual and incorporating a medical history and/or physical assessment element(s) as the central component of the service delivered to the client.

"Examination service component" means the set of all examination services provided by the family planning program.

"Family planning" means those services which will allow an individual to freely determine the number and spacing of their children, encompassing the spectrum from infertility to desired sterilization. Abortion is not a method of family planning.

"Family planning centers" means county health departments providing family planning services.

"Federal poverty level (FPL) guidelines" means the levels set forth in the most recent Poverty Guidelines issued pursuant to 42 U.S.C. § 9902(2).

"Laboratory service" means a qualified family planning service described in the Family Planning Policies and Procedures Manual and incorporating the performance of tests in a laboratory setting as the central component of the service delivered to the client.

"Laboratory service component" means the set of all laboratory services provided by the family planning program.

"Medical cost center" orlaboratory cost center" means those cost centers used by the Department to allocate costs determined to be necessary for the delivery of family planning services.

"Recommended fee assessment for utilization of services" or "RFA" means the maximum fee assessed to a client who receives a family planning service or product provided pursuant to this Chapter by the Department.

"Relative value" means the value assigned to a service described in the relative value study that most closely matches or approximates the description of the service provided by the family planning program.

"Relative value study" means an accredited study of a given set of medical services that establishes the relationship between the medical services studied indicating the proportionate value of each service to that of the others in the study.

"Schedule of fees" means a listing of services offered and the corresponding fee, if any, assigned to those services.

"Sliding fee scale" means a schedule of discounts for individuals based upon federal poverty level, family income, family size, and other program specified economic considerations.

Okla. Admin. Code § 310:530-1-2

Added at 19 Ok Reg 2077, eff 6-27-02; Amended at 21 Ok Reg 2751, eff 7-12-04