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APA WF# 24-33 In Lieu of Service or Setting (ILOS)

These proposed policy changes are being promulgated as Permanent Rules.

These rule revisions seek to implement the Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality Final Rule (CMS-2439-F) that requires any ILOS provided by a managed care contracted entity (CE) be an approvable state plan or HCBS service. These proposed policy revisions define ILOS and clarify that an ILOS is a component of the capitation rate paid to SoonerSelect contracted entities.

Please view the circulation documents here: APA WF# 24-33 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

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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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Last Modified on Dec 01, 2024
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