OHCA Policies and Rules
317:30-5-349. Program eligibility and covered services
[Issued 03-01-24]
(a) SoonerCare members, both children and adults, are eligible for services when medically necessary.
(b) A member must be reasonably believed to be experiencing a behavioral health crisis as evidenced by extreme emotional distress that includes, but is not limited to, an acute episode of mental illness and/or suicidal thoughts and/or behavior that may occur with substance use and other disorders.
(c) Secure behavioral health transportation may be provided when medically necessary for the following:
(1) Transportation to a facility arranged by individuals authorized by ODMHSAS, including but not limited to, hospitals and other mental health facilities;
(2) Facility-to-facility transports; and
(3) Transport of a member seeking voluntary admission to a facility.
(d) Members must be transported to the nearest appropriate facility.
(e) Out-of-state transports are allowable when medically necessary and may require prior approval or authorization by ODMHSAS.
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.
