APA WF # 25-04 A&B Hospice Revisions

The proposed policy changes are being promulgated as Permanent Rules.

The Oklahoma Health Care Authority (OHCA) is proposing revisions to remove hospice services from the 1915(c) Home and Community-Based Services (HCBS) waivers, including the ADvantage and Medically Fragile waivers, as well as the Money Follows the Person demonstration. Hospice services will instead be provided under the State Plan.  The revisions also update hospice certification requirements to align with federal standards, requiring statements from both the member’s attending physician and the hospice provider’s physician. Additional revisions clarify the length of the hospice benefit election.

Please view the APA WF 25-04A draft regulatory text here and the APA WF 25-04B draft regulatory text here and submit feedback via the comment box.

Pursuant to 75 O.S. §303(D), a rule impact statement will be posted here beginning December 30, 2025. Individuals may also request a copy using the comment box, and the statement will be provided on December 30, 2025.

Proposed Policy Timeline

Circulation Date: 12/15/2025

Medical Advisory Committee: 1/8/2026

Comment Due Date: 1/15/2026

Public Hearing: 1/15/2026

Board Meeting: 1/21/2026

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.