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AC Code Changes

OKLAHOMA DEPARTMENT OF HUMAN SERVICES
Developmental Disabilities Services Division
Sequoyah Memorial Office Building
PO Box 25352
Oklahoma City, OK 73125-9907
PH: (405) 521-3571  FX: (405) 522-3037  www.okdhs.org

June 28, 2019
Administrative Letter 19-15

Dear Provider,

Oklahoma Health Care Authority (OHCA) approved corrections to the DDS Agency Companion services procedure codes to reflect procedure code reassignment and current authorization practice.  Procedure code S5136 (Companion Care, adult; per diem) was determined to be incorrectly assigned for the age group served (it has been used for services for children).  S5126 (Attendant care services; per diem) has been revised to reflect current levels of Agency Companion services provided.  The service revisions/procedure code reassignments are below and are effective July 1, 2019:

DESCRIPTION ORIGINAL SERVICE CODE CORRECTED SERVICE CODE
AGENCY COMPANION-CLOSE S5126 U4 S5126 U1
AGENCY COMPANION-CLOSE THER LEAVE S5126 U4 TV S5126 U1 TV
AGENCY COMPANION-ENHANCED S5126 TG S5126
AGENCY COMPANION-ENHANCED THER LEAVE S5126 TG TV S5126 TV
AGENCY COMPANION-PERVASIVE S5136 TG S5126 TF
AGENCY COMPANION-PERVASIVE THER LEAVE S5136 TG TV S5126 TF TV

New Authorizations will only be issued on State Funded ("MC" numbers) services.  The DDS Provider Support Center is working to adjust authorizations for services to be provided on or after July 1, 2019. We are hopeful all authorizations can be adjusted within 2 to 3 weeks.  We will keep you informed as we work through this process.  The DDS Provider Support Center is a good resource if you need further information or assistance.  The support center may be contacted as follows:

E-mail: ddsd.provider.support@okdhs.org; Fax: 405-573-6853
Toll Free: 1-800-349-9173   Local (OKC) 405-325-5080
Hours: Mon-Fri 8:30am to 4:30pm (office closed from Noon to 1pm)

A copy of this letter is posted on the Developmental Disabilities Services page in the Provider Information portion of the DHS website:  http://www.okdhs.org/services/dd/pages/providerletters.aspx

Sincerely,
Beth Scrutchins, Director
Developmental Disabilities Services
Department of Human Services

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