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OHCA Policies and Rules

317:30-5-551 Eligible providers

[Revised 09-01-2026]

(a) A home health agency that elects to employ and train complex caregivers and be reimbursed by SoonerCare for paid family caregiver (PFC) services must meet the following requirements prior to providing services to eligible SoonerCare members:

(1) The agency must be fully contracted with OHCA as a provider; and,

(2) The agency must meet the requirements of Oklahoma Administrative Code (OAC) 317:30-5-545; and,

(3) The agency must be licensed by the Oklahoma State Health Department (OSDH) as a home care agency.

(b) The complex caregiver must meet the following requirements:

(1) must be at least eighteen (18) years of age;

(2) must pass criminal and abuse registry background checks.

(c) The complex caregiver, employed by the agency, must receive eighty (80) hours of training, competency evaluation, and other qualification criteria as a complex caregiver, including but not limited to:

(1) Agency New Employee Orientation;

(2) Communicating with the Care Team;

(3) Documentation;

(4) Safety Care;

(5) Medications;

(6) Respiratory Care;

(7) Neurological care;

(8) Nutrition;

(9) Genitourinary care;

(10) Integumentary care; and

(11) Social Determinants of Health

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.