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OK SPA 25-0005 & APA WF# 25-04 School-Based Services Expansion

The Oklahoma Health Care Authority (OHCA), in collaboration with the Oklahoma State Department of Education (OSDE), seek to enhance school-based services across the State. Policy changes will allow for an expansion of school-based services for all Medicaid eligible students that meet the criteria for medical necessity. These services are currently only reimbursable for students with an Individualized Education Plan (IEP) or an Individualized Family Service Plan (IFSP). Policy revisions will establish new school-based services, such as specialized transportation, and enhance existing school-based services, specifically around nursing, behavioral health, and nutrition services.

Please view the draft circulation document APA WF #25-04 and draft SPA 25-0005

Interested parties may submit feedback via the comment box.

Circulation Date: 12/27/2024

Tribal Consultation: 01/07/2025

Comment Due Date: 1/11/2025

Effective Date: 7/1/2025; Contingent Upon CMS & Gubernatorial Approval

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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 27, 2024