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OHCA Policies and Rules

OHCA Policies and Rules Main Page

317:35-5-4.3. Determining acute hospital level of care for TEFRA children

[Issued 09-01-15]

In order to determine acute hospital level of care for TEFRA children:

(1) The child must be age 18 years or younger and expected to meet the following criteria for at least 60 days.

(A) The child must need services that:

(i) are ordinarily provided in a hospital setting for the care and treatment of inpatients; and

(ii) are provided in a hospital that is maintained primarily for the care and treatment of patients with disorders other than mental health diagnosis.

(B) The service(s) needed has been ordered by, and is provided under the direction of, a physician.

(2) The services needed by the child must be greater than the services provided by an ICF/IID and a nursing facility.

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.

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Oklahoma Health Care Authority

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Oklahoma City, OK 73105

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