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OHCA Policies and Rules

Section 1 Purpose
Section 2 Appeals
Section 2.1 Provider appeals and jurisdictional grounds [REVOKED]
Section 2.2 Recipient appeals [REVOKED]
Section 2.3 Other grievance procedures and processes [REVOKED]
Section 2.5 Expedited appeals
Section 2.6 Continuation of benefits or services pending appeal
Section 4 Appeal to the Chief Executive Officer [REVOKED]
Section 5 Hearing procedures
Section 6 Other grievance procedures and processes [REVOKED]
Section 7 Program Integrity Audit Appeals
Section 8 Nursing home provider contract appeals [REVOKED]
Section 9 OHCA's Designated Agent's appeal process for QIO Decisions
Section 10 Drug Rebate appeal process
Section 11 Medicaid Drug Utilization Review Board (DUR) appeal process
Section 12 For cause and immediate provider contract termination appeals process
Section 13 Appeal to the chief executive officer
Section 14 Contract award protest process
Section 15 Supplemental Hospital Offset Payment Program (SHOPP) Appeals
Section 16 Nursing Facility Supplemental Payment Program appeals [REVOKED]
Section 17 Long-term care facility cost report appeals
Section 18 Step therapy protocol exception appeals


Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.

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