Okla. Admin. Code § 340:75-13-61

Current through Vol. 42, No. 1, September 16, 2024

Section 340:75-13-61 - Medical services to children in placement

Children in Oklahoma Human Services (OKDHS) custody and out-of-home placements have fee-for-service medical cases. The Oklahoma Health Care Authority pays for each medical service provided at the Medicaid allowable rate. The child welfare specialist:

(1) ensures medical services are provided, per Oklahoma Administrative Code (OAC) 340:75-14-3;

(2) applies for SoonerCare (Medicaid) for a child following execution of a court order to remove the child by entering the child's removal and placement information into KIDS as soon as possible, but no later than two-business days after the child was physically placed in OKDHS custody per OAC 340:75-3-300 ITS 10(6).

(A) When the child's removal information is entered into the KIDS Removal screen, a KIDS assignment is generated to the custody specialist.

(B) The KIDS assignment to the custody specialist is considered the referral for:

(i) Title XIX medical benefits; and

(ii) Title IV-E eligibility determination; and

(3) notifies the placement provider of the child's medical ID number upon receipt to facilitate medical services and payment.

Okla. Admin. Code § 340:75-13-61

Amended at 10 Ok Reg 3987, eff 7-13-93 (emergency); Amended at 11 Ok Reg 505, eff 11-15-93 (emergency); Amended at 11 Ok Reg 1733, eff 5-12-94; Amended at 16 Ok Reg 102, eff 10-13-98 (preemptive); Amended at 19 Ok Reg 2265, eff 6-27-02; Amended at 22 Ok Reg 854, eff 5-12-05

Amended by Oklahoma Register, Volume 36, Issue 24, September 3, 2019, eff. 9/16/2019

Amended by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/15/2020

Amended by Oklahoma Register, Volume 41, Issue 23, August 15, 2024, eff. 9/16/2024