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APA WF # 24-18 Third Party Liability for School Based Services

Third Party Liability for School Based Services — The OHCA will seek approval of an emergency rule revision to add an exception to the Third-Party Liability (TPL) requirement for services rendered in a school setting for certain populations. For students with an Individualized Education Program (IEP) or an Individual Family Service Plan (IFSP), Medicaid shall be the payor of first resort. Currently, IEP & IFSP services are not exempt from TPL.

Please view the draft rule revisions here: APA WF # 24-18

Feedback may be submitted via the comment box.

Proposed Policy Timeline:

Tribal Consultation: 9/3/2024

Tribal Consultation Period: 8/23/2024 – 10/22/2024

Circulation Date: 8/30/2024

Comment Due Date: 9/14/2024

Effective Date: Upon Governor's 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.

Comments

Tasia:

Considering the amount of children that have IEPs, I think it’s great to have the option. I believe it will cut out delays and allow providers to timely perform services. There is a concern with MCO payments and the delay since the switch.

OHCA Response:

Thank you for your feedback. 

Last Modified on Sep 16, 2024
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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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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.