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OHCA Policies and Rules

OHCA Policies and Rules Main Page

 

   
Section 659 Definitions
Section 660 Eligible providers
Section 660.1 Health Center multiple sites contracting
Section 660.2 Health Center professional staff
Section 660.3 Health Center enrollment requirements for other behavioral health services
Section 660.4 Health Center enrollment requirements for health services in a school setting
Section 660.5 Health Center service definitions [REVOKED]
Section 661 Coverage by category [REVOKED]
Section 661.1 Coverage of core services
Section 661.2 Services and supplies "incident to" Health Center encounters [REVOKED]
Section 661.3 Visiting Nurse services [REVOKED]
Section 661.4 Behavioral health professional services provided at Health Centers and other settings
Section 661.5 Health Center preventive primary care services
Section 661.6 Health Center preventive and primary care exclusions [REVOKED]
Section 661.7 Off-site services
Section 662 Reimbursement [REVOKED]
Section 663 Billing [REVOKED]
Section 664 Timely filing [REVOKED]
Section 664.1 Provision of other health services outside of the Health Center core services
Section 664.2 Prior authorization and referrals
Section 664.3 FQHC encounters
Section 664.4 Multiple encounters at Federally Qualified Health Centers (FQHC)
Section 664.5 Federally Qualified Health Center (FQHC) encounter exclusions and limitations
Section 664.6 Prescription drugs purchased under the 340B Drug Discount Program provided by Health Centers
Section 664.7 Dental services provided by Health Centers
Section 664.8 Obstetrical care provided by Health Centers
Section 664.9 Family planning services provided by Health Centers
Section 664.10 Health Center reimbursement
Section 664.11 PPS rate reconciliation to Health Centers
Section 664.12 Determination of Health Center PPS rate
Section 664.13 Individuals eligible for Part B of Medicare
Section 664.14 Health Center record keeping
Section 664.15 Health Center cost 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.

 

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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.