APA WF# 24-18 Third Party Liability for School Based Services
These rule changes are currently approved as Emergency Rules and must be promulgated as Permanent Rules.
These revisions ensure compliance with federal and state regulations by preventing third-party insurers from denying Medicaid members' claims solely due to the lack of prior authorization for services covered under the state plan or waivers. Additionally, these changes align with Section 1903(c) of the Social Security Act, designating Medicaid as the payer of first resort for Medicaid-covered services listed in a Medicaid-eligible student’s Individualized Education Program (IEP) or Individual Family Service Plan (IFSP).
Please view the circulation document here: APA WF #24-18 and submit feedback via the comment box.
Circulation Date: 12/2/2024
Comment Due Date: 1/6/2025
Public Hearing: 1/6/2025
Board Meeting: 1/15/2025
Submit a Comment
After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.
Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.
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