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OHCA Policies and Rules

OHCA Policies and Rules Main Page

 

Section 1 Purpose
Section 2 Definitions
Section 3 Medically Fragile Program overview
Section 4 Application for Medically Fragile Waiver services
Section 5 Medically Fragile Waiver program medical eligibility determination
Section 6 Determining financial eligibility for the Medically Fragile Waiver program
Section 7 Certification for Medically Fragile Waiver program services
Section 8 Redetermination of eligibility for Medically Fragile Waiver services
Section 9 Member annual level of care re-evaluation and annual re-authorization of service plan
Section 10 Medically Fragile Waiver services during hospitalization or NF placement
Section 11 Closure or termination of Medically Fragile Waiver services
Section 12 Eligible providers
Section 13 Coverage
Section 14 Description of services
Section 15 Reimbursement
Section 16 Billing procedures for Medically Fragile Waiver services


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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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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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.