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OHCA Policies and Rules

OHCA Policies and Rules Main Page

 

Section 1 Overview of long-term medical care services; relationship to Qualified Medicare Beneficiary Plus (QMBP), Specified Low-Income Medicare Beneficiary (SLMB), and other SoonerCare services and eligibility 
Section 2 State Plan Personal Care (SPPC) services 
Section 3 Application for State Plan Personal Care (SPPC) services 
Section 4 State Plan Personal Care (SPPC) services medical eligibility determination 
Section 5 General financial eligibility requirements for State Plan Personal Care
Section 6 Determining financial eligibility of categorically needy individuals
Section 7 Certification for State Plan Personal Care
Section 8 Agency State Plan Personal Care (SPPC) service authorization and monitoring 
Section 8.1 Agency State Plan Personal Care services; billing, and problem resolution
Section 8.2 State Plan Personal Care Eligible Provider Exception [REVOKED]
Section 9 Financial eligibility redetermination for State Plan Personal Care 
Section 10 Medical eligibility redetermination for State Plan Personal Care (SPPC) services
Section 11 Case transfer between categories [REVOKED]
Section 12 Case changes
Section 13 Personal Care contractor; billing, training, and program administration [REVOKED]
Section 13.1 Individual personal care assistant (IPCA) service management 
Section 13.2 Individual personal care assistants (IPCA) provider contractor; billing, training, and problem resolution
Section 14 Billing procedures for State Plan personal care
Section 15 Social services referral 

 

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

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.