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OHCA Policies and Rules

317:30-5-42.16 Related services

[Revised 09-12-22]

(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.

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.