Okla. Admin. Code § 317:30-5-704
Current through Vol. 41, No. 19, June 17, 2024
Section 317:30-5-704 - [Effective 9/14/2024] Billing instructions(a)HCPCS Codes. The Oklahoma Health Care Authority(OHCA) utilizes the Medicare Level II Healthcare Common Procedure Coding System (HCPCS) codes. All claim submissions must be in compliance with this coding system. (b)Prior authorization. Where applicable, the appropriate arch, quadrant, or tooth surface and tooth number must be included on the claim. Diagnosis codes are requested to be listed in box 34 of the current American Dental Association (ADA) dental claim form. For mailed prior authorizations, a completed HCA-13D form is required. (c)Images. Any type of film or prints submitted will not be returned. All images must be dated, mounted and have patient's name, recipient identification number (RID), provider name and provider number. Okla. Admin. Code § 317:30-5-704
Added at 12 Ok Reg 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff 7-27-95; Amended at 15 Ok Reg 3822, eff 7-1-98 (emergency); Amended at 16 Ok Reg 692, eff 12-31-98 (emergency); Amended at 16 Ok Reg 1429, eff 5-27-99; Amended at 23 Ok Reg 2489, eff 6-25-06Amended by Oklahoma Register, Volume 31, Issue 24, September 2, 2014, eff. 9/12/2014Amended by Oklahoma Register, Volume 33, Issue 23, August 15, 2016, eff. 9/1/2016Amended by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/14/2020Amended by Oklahoma Register, Volume 41, Issue 12, March 1, 2024, eff. 1/30/2024, exp. 9/14/2024 (Emergency)