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OHCA Policies and Rules

OHCA Policies and Rules Main Page

 

Section 1 Implementation of gatekeeping in NF [REVOKED]
Section 2 Nursing Facility (NF) program medical eligibility determination
Section 3 Services in a Nursing Facility (NF)
Section 4 Medicaid recovery
Section 5 Application for nursing facility care; forms
Section 6 Application procedures for NF
Section 7 Determination of medical eligibility for care in NF [REVOKED]
Section 7.1 Level of care medical eligibility determination
Section 8 Preadmission screening and resident review
Section 9 PASRR screening process
Section 10 Level II screen for PAS [REVOKED]
Section 11 Annual Resident Review (ARR) [REVOKED]
Section 12 Level I screen for ARR [REVOKED]
Section 13 Level II screen for ARR [REVOKED]
Section 14 New admissions, readmissions, interfacility transfers, and same level of care program transfers
Section 15 PASARR tracking system [REVOKED]
Section 16 PASRR appeals process
Section 18 Change in level of long-term medical care
Section 19 General financial eligibility requirements for NF and skilled nursing care
Section 20 Determining financial eligibility of categorically needy individuals
Section 21 Determining financial eligibility for care in nursing facility
Section 22 Certification for Nursing Facility (NF)
Section 22.1 Discharge planning
Section 23 Redetermination of eligibility for NF care
Section 24 Case transfer between categories
Section 25 Case changes
Section 26 Payment to NF
Section 27 Billing procedures for NF
Section 28 Management of client's funds while receiving care in NF
Section 29 Disclosure of information on health care providers and contractors
Section 30 Referral for social services
Section 31 Special procedures for release of adults in mental health hospitals to Nursing Facilities

 

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.