Current through Vol. 41, No. 19, June 17, 2024
Section 317:30-5-575 - [Effective 9/14/2024] General information(a)Clinic services. Clinic services means preventive, diagnostic, therapeutic, rehabilitative, or palliative services that are furnished by a facility that is not part of a hospital but is organized and operated to provide medical care to outpatients. The term includes the following services furnished to outpatients: (1) Services furnished at the clinic by or under the direction of a physician or a dentist.(2) Services furnished outside the clinic, by clinic personnel under the direction of a physician, to an eligible individual who does not reside in a permanent dwelling or does not have a fixed home or mailing address.(b)Prior authorization. OHCA requires prior authorization for certain procedures to validate the medical need for the service.(c)Medical necessity. Medical necessity requirements are listed at OAC 317:30-3-1(f).Okla. Admin. Code § 317:30-5-575
Added at 28 Ok Reg 1394, eff 6-25-11Amended by Oklahoma Register, Volume 40, Issue 23, August 15, 2023, eff. 7/6/2023 (emergency)