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OHCA Policies and Rules


Section 1 Eligible providers
Section 2 General coverage by category
Section 3 Documentation of services
Section 4 Procedure and diagnosis coding
Section 5 Diagnosis Codes [REVOKED]
Section 6 Abortions
Section 7 Anesthesia
Section 8 Surgery
Section 9 Medical services
Section 10 Ophthalmology services
Section 11 Psychiatric services
Section 12 Family planning
Section 13 Rape and abuse exams
Section 14 Injections
Section 14.1 Allergy Services
Section 15 Chemotherapy injections
Section 16 Miscellaneous injections [REVOKED]
Section 17 Authorized examinations - eligibility determinations
Section 18 Elective sterilizations
Section 19 Hysterectomies
Section 20 Laboratory services
Section 20.1 Drug screening and testing
Section 20.2 Molecular diagnostic testing utilizing polymerase chain reaction for infectious diseases
Section 21 Unusual procedures
Section 22 Obstetrical care
Section 22.1 Enhanced services for medically high risk pregnancies
Section 23 Newborn care
Section 24 Radiology
Section 25 Oklahoma Health Care Authority's Quality Improvement Organization (QIO)



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.