Library: Policy

317:30-5-664.2. Prior authorization and referrals

Issued 6-07-06

(a) Health Center encounters for core services, whether medical or behavioral health, are not subject to prior authorization.  However, some Health Center services may require a referral from a PCP/CM.

(b) Other SoonerCare State Plan covered health services that the Center chooses to provide are subject to all applicable Medicaid regulations which govern the provision and coverage for that service.