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OK SPA # 25-0007 APA WF # 25-09 RHC and FQHC Policy Revisions

The proposed policy changes amend the definition of Rural Health Center (RHC) and Federally Qualified Health Center (FQHC) core services. The Consolidated Appropriations Act, 2023 (P.L. 117-328) added Marriage and Family Therapist (MFT) services and Mental Health Counselor (MHC) services to the definition of RHC/FQHC core services. Those services will be added to the list of RHC/FQHC core services in OHCA policy. The following provider types meet the definition of an MHC: Licensed Professional Counselor (LPC), Licensed Behavioral Health Provider (LBHP), and providers with a Licensed Drug and Alcohol Counselor/Mental Health (LADC-MH) credential. Further, the revisions include clarification that certain medical services provided by an optometrist or podiatrist in an RHC or FQHC meet the definition of a core service and may be reimbursed the encounter rate.

Please view the administrative rules draft here: APA WF # 25-09

Please view the State Plan amendment draft here: OK SPA #25-0007

Comments may be submitted to the comment box below or to federal.authorities@okhca.org. Interested parties who submit a comment via email may request to remain anonymous by stating that request in their email.

Please view the public notice here

Circulation Date: August 26, 2025

Comment Due Date: September 10, 2025

Medical Advisory Committee (MAC) Date: September 4, 2025

OHCA Board Date: September 17, 2025

Submit a Comment

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After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.


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Last Modified on Dec 01, 2025