OHCA Policies and Rules

OHCA Policies and Rules Main Page

Section 1	Overview of long-term medical care services; relationship to Qualified Medicare Beneficiary Plus (QMBP), Specified Low-Income Medicare Beneficiary (SLMB), and other Medicaid (SoonerCare) services eligibility
Section 2	Level of care medical eligibility determination
Section 3	ADvantage program services
Section 4	Application for ADvantage services
Section 5	ADvantage program medical eligibility determination
Section 6	Pre-admission screening [REVOKED]
Section 7	PASRR screening process [REVOKED]
Section 8.1	PASRR appeals process [REVOKED]
Section 9	General financial eligibility requirements for the ADvantage program
Section 10	Determining financial eligibility/categorical relationship for the ADvantage program
Section 11	Determining financial eligibility for ADvantage program services
Section 12	Certification for ADvantage program services
Section 13	Certification for ADvantage program services [REVOKED]
Section 14	Case management services
Section 15	Redetermination of eligibility for ADvantage services
Section 16	Member annual level of care re-evaluation and annual service plan reauthorization
Section 17	Supplemental process for expedited eligibility determination (SPEED)
Section 18	ADvantage services during hospitalization or NF placement
Section 19	Closure or termination of ADvantage services
Section 20	Case transfer between categories [REVOKED]
Section 21	Case changes
Section 21.1	ADvantage and agency Personal Care provider certification
Section 22	Billing procedures for ADvantage services
Section 23	Disclosure of information on health care providers and contractors
Section 24	Referral for social services
Section 25	Address Confidentiality Program
Section 26	Ethics of Care Committee
Section 27	Incident reporting

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.