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OK WF # 25-12 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.

Tribal Consultation: April 29, 2025

Circulation Date: March 25, 2025

Comment Due Date: April 10, 2025

Medical Advisory Committee Meeting: May 1, 2025

OHCA Board Meeting: May 21, 205

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.


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Last Modified on Mar 25, 2025