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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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