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APA WF # 24-14 and OK SPA 24-0020 Hospice Benefit Expansion

The Oklahoma Health Care Authority proposes emergency revisions that are necessary to comply with state law. Currently, hospice coverage is limited to children, expansion adults, and the dual eligible population. In accordance with House Bill 3980, the proposed revisions will expand Hospice coverage to include all full-benefit Medicaid members. Existing criteria and payment methodologies will be applied to any new populations.

Please view the circulation document here, and submit feedback via the comment box.

Please view the draft SPA here.

Please view the public notice here. 

Circulation Date: 9/20/2024

Tribal Consultation: 09/03/2024

Comment Due Date: 10/22/2024

Medical Advisory Committee: 11/7/2024

OHCA Board: 12/11/2024

Rules Effective Date: 01/01/2025 or Immediately Upon Governor’s Approval, whichever is later.

SPA Effective Date: 01/01/2025, Contingent Upon CMS approval.

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 Oct 23, 2024
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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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