OK SPA 24-0014 Emergency Interim Payments SPA
Due to the ongoing cyberattack on Change Healthcare ("the incident"), CMS is allowing states to submit state plan amendments to establish an interim payment methodology to reimburse providers for services based on historical claims data while they are unable to submit actual claims. This payment methodology may be used for payments made between the onset of the incident and June 30, 2024. Once access to claims systems is regained, but no later than June 30, 2024, Oklahoma will reconcile the amount paid using the interim payment methodology with the amount due to a provider based on actual claims. Due to the emergent circumstances, CMS allowed states to submit a SPA before tribal consultation and public notice. The SPA was approved on April 11, 2024.
View the approved SPA Pages and Public Notice
Circulation Date: April 19, 2024
Tribal Consultation: April 30, 2024
SPA Effective Date: February 21, 2024
Submit a Comment
After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.
Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.
Comments
Tasha:
We are affected severely and still are affected by the Change Health care breach, and now the Medicaid managed care plans have made keeping our clinic open extremely difficult. We are interested in the Emergency Interim Payment program, is this something you can assist us with?
OHCA Response:
OHCA has developed an emergency interim payment methodology for inpatient and outpatient hospital providers affected by the ongoing cyberattack on Change Healthcare. Affected providers may submit an inquiry to ProvReimb@okhca.org.
