OHCA Policies and Rules

OHCA Policies and Rules Main Page

Section 40	Eligible providers
Section 40.1	General information
Section 40.2	Definitions [REVOKED]
Section 41	Inpatient hospital coverage/limitations [AMENDED]
Section 41.1	Acute inpatient psychiatric services
Section 41.2	Organ transplants
Section 42	Coverage for children [REVOKED]
Section 42.1	Outpatient hospital services
Section 42.2	Blood and blood fractions
Section 42.3	Chemotherapy and radiation therapy
Section 42.4	Clinic/treatment room services; urgent care
Section 42.5	Diagnostic testing therapeutic services
Section 42.6	Dialysis
Section 42.7	Emergency department (ED) care/services
Section 42.8	Hearing and speech therapy
Section 42.9	Infusions/injections
Section 42.10	Laboratory
Section 42.11	Observation/treatment
Section 42.12	Physical therapy
Section 42.13	Radiology
Section 42.14	Surgery and diagnostic services
Section 42.15	Outpatient hospital services for members infected with tuberculosis
Section 42.16	Related services
Section 42.17	Non-covered services
Section 42.18	Coverage for children
Section 42.19	340B Drug Discount Program
Section 42.20	High-investment drugs - outpatient hospitals
Section 43	Vocational Rehabilitation coverage [REVOKED]
Section 44	Medicare eligible individuals
Section 45	Psychiatric hospitals - inpatient services for persons age 65 and over [REVOKED]
Section 46	Psychiatric hospitals and residential psychiatric treatment facilities - inpatient services for persons under age 21 [REVOKED]
Section 47	Reimbursement for inpatient hospital services [AMENDED]
Section 47.1	Reimbursement for newborn screening services provided by the OSDH
Section 47.2	Disproportionate share hospitals (DSH)
Section 47.3	Indirect medical education (IME) adjustment
Section 47.4	Direct medical education payment adjustment
Section 47.5	Critical Access Hospitals
Section 47.6	High-investment drugs - inpatient hospitals
Section 48	Cost reports [REVOKED]
Section 49	Reporting suspected abuse
Section 50	Abortions
Section 51	Elective sterilizations
Section 52	Hysterectomies
Section 53	Newborn care
Section 54	Hospital rate appeals [REVOKED]
Section 55	Residential psychiatric treatment facility rate appeals [REVOKED]
Section 56	Utilization review
Section 57	Notice of denial
Section 58	Supplemental Hospital Offset Payment Program

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.