OK SPA 25-0011 Nursing Facility Quality of Care Fee and Tracheostomy Criteria Updates — For the rate period beginning July 1, 2025, OHCA is proposing a State Plan amendment to recalculate the Quality of Care (QOC) fee. The revised QOC fee will apply to regular nursing facilities, nursing facilities serving residents with Acquired Immune Deficiency Syndrome (AIDS), and both Regular and Acute Intermediate Care Facilities for Individuals with Intellectual Disability (ICF/IID). This amendment was discussed at the April 29, 2025 Tribal Consultation meeting.
In addition, OHCA is proposing a minor revision to the State Plan to remove detailed tracheostomy criteria for high acuity nursing facility residents. This change is intended to streamline language and align with CMS guidance to reduce unnecessary detail in the plan. The criteria remain unchanged and are already addressed in OHCA rules. This update will be submitted alongside the QOC rebasing SPA for SFY26.
Interested persons may view the public notice and the draft SPA OK-SPA 25-0011 and submit feedback via the comment box.
Circulation Date: June 20, 2025
Tribal Consultation: April 29 & July 1, 2025
Public Comment Period: June 20, 2025 – July 5, 2025
Proposed Effective Date: July 1, 2025
Comment Due Date: July 5, 2025
Submit a Comment
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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