Inpatient Behavioral Health Services

Inpatient behavioral health services are covered for the children and adults.

Children

All inpatient behavioral health services for individuals under 21 years of age must be prior authorized by the Oklahoma Health Care Authority (OHCA) or its designated agent. Non-authorized services will not be Medicaid compensable. Services are covered for individuals under 21 in general acute care hospitals, psychiatric hospitals and psychiatric residential treatment facilities (PRTF).

Adults

All inpatient behavioral health services for adults age 21 to 64 must be prior authorized by the OHCA or its designated agent. Non-authorized services will not be Medicaid compensable. Services are covered in general acute care hospitals only.

Inpatient behavioral health services for adults age 65 and older do not require prior authorization. Services are covered in general acute care hospitals and psychiatric hospitals.

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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.