Cathy Satkus:

I am voting against this change. The timely filing should be left as it currently stands.

OHCA Response:

These rule changes do not change the timely filing limits in the main section of policy that deals with timely filing, OAC 317:30-3-11.  The limit remains at 6 months from the date of service to submit a timely claim, and then once a claim is submitted timely, the provider has 6 more months to resubmit the claim if necessary, see OAC 317:30-3-11.1.  The rule change being posted for public comment is updating a specific paragraph in policy that had not been previously updated with the correct timely filing limit.

Joshua Langley:

Administratively, I think this makes sense, I am but slightly hesitant due to the challenges Social Security has had during the pandemic.  If OKDHS is not able to verify someone's SSI through their means it can be a significant challenge on the client to acquire that information from the SSA to provide to OKDHS.  One would think 6 months would be ample time but as of late I have become increasingly skeptical in SSA's ability to assist a non-tech savvy citizen, or if the citizen has to troubleshoot their online SSA account. 

OHCA Response:

These rule changes do not change the timely filing limits in the main section of policy that deals with timely filing, OAC 317:30-3-11.  The limit remains at 6 months from the date of service to submit a timely claim, and then once a claim is submitted timely, the provider has 6 more months to resubmit the claim if necessary, see OAC 317:30-3-11.1.  The rule change being posted for public comment is updating a specific paragraph in policy that had not been previously updated with the correct timely filing limit.