OHCA Policies and Rules
317:30-5-422. Description of services
[Revised 09-01-15]
Residential supports include:
(1) agency companion services (ACS) per Oklahoma Administrative Code (OAC)317:40-5;
(2) specialized foster care (SFC) per OAC 317:40-5;
(3) daily living supports (DLS):
(A) Community Waiver per OAC 317:40-5-150; and
(B) Homeward Bound Waiver per OAC 317:40-5-153;
(4) group home services provided per OAC 317:40-5-152; and
(5) community transition services (CTS).
(A) Minimum qualifications. The provider must enter into contractual agreements with the Oklahoma Health Care Authority (OHCA) to provide ACS, habilitation training specialist (HTS) services, or DLS, in addition to a contract to provide CTS.
(B) Description of services. CTS is a one-time setup expense for members transitioning from an intermediate care facility for individuals with intellectual disabilities (ICF/IID) or provider-operated residential setting to the member's own home or apartment. The cost per member of CTS cannot exceed limitations set forth by OHCA. The member's name must be on the lease, deed or rental agreement. CTS:
(i) are furnished only when the member is unable to meet such expense and must be documented in the member's Individual Plan (IP);
(ii) include security deposits, essential furnishings, such as major appliances, dining table/chairs, bedroom set, sofa, chair, window coverings, kitchen pots/pans, dishes, eating utensils, bed/bath linens, kitchen dish towel/potholders, a one month supply of laundry/cleaning products, and setup fees or deposits for initiating utility service, including phone, electricity, gas, and water . CTS also includes moving expenses, services/items necessary for the member's health and safety, such as pest eradication, allergen control, a one-time cleaning prior to occupancy, flashlight, smoke detector, carbon monoxide detector, first aid kit, fire extinguisher, and a tempering valve or other anti-scald device when determined by the Team necessary to ensure the member's safety; and
(iii) does not include:
(I) recreational items, such as television, cable, satellite, internet, video cassette recorder (VCR), digital video disc (DVD) player, compact disc (CD) player, MP3 player, or computer used primarily as a diversion or recreation;
(II) monthly rental or mortgage expenses;
(III) food;
(IV) personal hygiene items;
(V) disposable items, such as paper plates/napkins, plastic utensils, disposable food storage bags, aluminum foil, and plastic wrap;
(VI) items that are considered decorative, such as rugs, pictures, bread box, canisters, or a clock;
(VII) any item not considered an essential, one-time expense; or
(VIII) regular ongoing utility charges;
(iv) prior approval for exceptions and/or questions regarding eligible items and/or expenditures are directed to the programs manager for community transition services at DHS DDS state office
(v) authorizations are issued for the date a member transitions;
(vi) may only be authorized for members approved for the Community Waiver; and (vii) may not be authorized for items purchased more than 30 days after the date of transition.
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.
