Library: Policy

340:75-16-32. Length of stay and extensions for inpatient behavioral health services

Revised 9-15-16

(a) Initial length of stay.The initial length of stay for inpatient behavioral health services is the decision of the Oklahoma Health Care Authority (OHCA) or its designated agent based upon information provided by the inpatient facility staff at the completion of the assessment and ongoing treatment recommendations that determine the number of days required to resolve the identified presenting problems.

(b) Extension requests.Extension requests for behavioral health care services must be made to OHCA or its designated agent by the treating facility staff on or before the last business day of the current authorization for inpatient services.The number of days allowed is determined by OHCA or its designated agent based on the medical necessity criteria.

(c) Reconsideration request.A reconsideration request for an extension of behavioral health services is made to OHCA or its designated agent by Child Welfare Services or the inpatient behavioral health facility.