Okla. Admin. Code § 317:30-5-42.16
Current through Vol. 41, No. 19, June 17, 2024
Section 317:30-5-42.16 - Related services(a)Ambulance. Ambulance services furnished by the facility are covered separately if otherwise compensable under the SoonerCare program.(b)Home health care. Hospital-based home health providers must be Medicare certified and have a current Home Health Agency contract with the Oklahoma Health Care Authority (OHCA). For home health services, a qualified provider must conduct and document a face-to-face encounter with the member in accordance with provisions of 42 Code of Federal Regulations (C.F.R.) § 440.70. Refer to Oklahoma Administrative Code (OAC) 317:30-5-546 and OAC 317:30-5-547 for additional policy related to coverage and reimbursement for home health care services.Okla. Admin. Code § 317:30-5-42.16
Added at 24 Ok Reg 317, eff 12-1-06 (emergency); Added at 24 Ok Reg 905, eff 5-11-07; Amended at 28 Ok Reg 511, eff 1-6-11 (emergency); Amended at 28 Ok Reg 1489, eff 6-25-11Amended by Oklahoma Register, Volume 34, Issue 23, August 15, 2017, eff. 9/1/2017Amended by Oklahoma Register, Volume 39, Issue 10, February 1, 2022, eff. 12/21/2021Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/12/2022