Skip to main content

OK WF # 25-12 and SPA 25-0010 Clinic Services Update

Effective Jan. 1, 2025, the Agency is seeking to comply with the mandatory “four walls” exception for clinic services provided by Indian Health Services (IHS) clinics and Tribal clinics as required under the 2024 Outpatient Prospective Payment System final rule. Services furnished by an IHS or Tribal clinic, outside the “four walls” of the clinic, will be covered as Clinic Services under 42 CFR 440.90. Emergency rules are proposed to align existing ITU policy with federal requirements.

Please view the draft rules here.

Please view the draft SPA here.

Tribal Consultation: April 29, 2025

Rules Circulation Date: March 25, 2025

Rules Comment Due Date: April 10, 2025

SPA Circulation Date: April 18, 2025

SPA Comment Due Date: May 5, 2025

Submit a Comment

Couldn't verify captcha, Please refresh the page and try again.

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

No Comments

Last Modified on May 09, 2025
Back to top

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

Contact Us

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.