Library: Policy

317:30-5-42.16. Related services

Revised 9-12-22

(a) Ambulance.  Ambulance services furnished by the facility are covered separately if otherwise compensable under the SoonerCare program.

(b) Home health care.  Hospital-based home health providers must be Medicare certified and have a current Home Health Agency contract with the Oklahoma Health Care Authority (OHCA). For home health services, a qualified provider must conduct and document a face-to-face encounter with the member in accordance with provisions of 42 Code of Federal Regulations (C.F.R.) ' 440.70. Refer to Oklahoma Administrative Code (OAC) 317:30-5-546 and OAC 317:30-5-547 for additional policy related to coverage and reimbursement for home health care services.