reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 62 - PRIVATE DUTY NURSING › Section 317:30-5-561 - Private duty nursing (PDN) payment rates

Current through Vol. 41, No. 20, July 1, 2024
(a) All PDN
				  services, including overtime, are reimbursed per the methodology described in
				  the Oklahoma Medicaid State Plan.
(b) Overtime payment for PDN services is only
				  available for nursing staff who are providing services to members with
				  tracheostomies or who are medically dependent on a ventilator for life support
				  at least six (6) hours per day. This excludes members who are on non-invasive
				  C-PAP or Bi-PAP devices only.
(c)
				  In accordance with the Department of Fair Labor Standards Act, a worker must
				  receive overtime pay for every hour that is worked over forty (40) hours in a
				  workweek. A workweek is defined as any set seven (7) day period.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 63 - AMBULATORY SURGICAL CENTERS (ASC) › Section 317:30-5-565 - Eligible providers

Current through Vol. 41, No. 20, July 1, 2024
An ambulatory surgical center (ASC) or dental ambulatory
					 surgical center (DASC) is a distinct entity that operates exclusively for the
					 purpose of furnishing outpatient surgical services to patients. All eligible
					 ambulatory surgical center providers must be certified by Medicare or certified
					 through Centers for Medicare and Medicaid Services (CMS) approved accreditor
					 for ASC and have a current contract with the Oklahoma Health Care
					 Authority.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 26 Ok Reg 527, eff 1-2-09 (emergency); Amended at 26 Ok Reg
					 2117, eff 6-25-09
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 63 - AMBULATORY SURGICAL CENTERS (ASC) › Section 317:30-5-566 - Ambulatory Surgery Center services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Reimbursement.
Reimbursement
				  is made for selected services based on the Medicare approved list of covered
				  services that can be performed at an ASC. Services not covered as Medicare ASC
				  procedures and otherwise covered under SoonerCare may be reimbursed as
				  determined by the OHCA. Ambulatory surgery center services are paid on a
				  rate-per-service basis that varies according to the Health Care Procedure
				  Coding System (HCPCS) codes. Separate payments may be made to the ASC for
				  covered ancillary services. To be considered a covered ancillary service for
				  which separate payment is made, the items and services must be provided
				  integral to covered surgical procedures, that is, immediately before, during,
				  or immediately after the covered surgical procedure.
(b)
Multiple surgeries.
Multiple
				  procedures furnished during the same visit are discounted. The full amount is
				  paid for the procedure with the highest payment rate. Fifty percent is paid for
				  any other procedure(s) performed at the same time if the procedure is subject
				  to discounting based on the discount indicator established by
				  Medicare.
(c)
Payment
				  indicators.
Payment indicators identify whether the service described by
				  a HCPCS code is paid under the ASC methodology and if so, whether payment is
				  made separately or packaged. SoonerCare follows Medicare's guidelines for
				  packaged/bundled service costs.
(d)
Minor procedures.
Minor procedures that are normally performed in
				  a physician's office are not covered in an ambulatory surgery center unless
				  medically necessary and they are on the Medicare list for procedures approved
				  to be performed in an ASC. Services not covered as Medicare ASC procedures and
				  otherwise covered under SoonerCare may be reimbursed as determined by the
				  OHCA.
(e)
Dental
				  Procedures.
For OHCA payment purposes, the ASC list has been expanded to
				  cover dental services for adults in an ICF/MR and all children.
(1) Non-emergency routine dental that is
				  provided in an ambulatory surgery center is covered for children under the
				  following circumstances:
(A) The child has a
				  medical history of uncontrolled bleeding or other medical condition renders
				  in-office treatment impossible.
(B)
				  The child has uncontrollable behavior in the dental office even with
				  premedication.
(C) The child needs
				  extensive dental procedures or oral surgery procedures.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 63 - AMBULATORY SURGICAL CENTERS (ASC) › Section 317:30-5-567 - Coverage by category

Current through Vol. 41, No. 20, July 1, 2024
Payment is made for ambulatory surgical center services as
					 set forth in this Section.
(1)
Children.
Payment is made for children for medically necessary
				  surgical procedures which are included on Medicare's list of covered ASC
				  surgical procedures and dental procedures in certain circumstances. Services
				  not covered as Medicare ASC procedures and otherwise covered under SoonerCare
				  may be reimbursed as determined by the Oklahoma Health Care Authority (OHCA).
(A) Services, deemed medically necessary and
				  allowable under federal regulations, may be covered by the EPSDT/OHCA Child
				  Health program even though those services may not be part of the OHCA
				  SoonerCare program. Such services must be prior authorized.
(B) Federal regulations also require the
				  State to make the determination as to whether the service is medically
				  necessary and do not require the provision of any items or services that the
				  State determines are not safe and effective or which are considered
				  experimental.For more information regarding experimental or investigational
				  including clinical trials, see Oklahoma Administrative Code
				  317:30-3-57.1.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 63 - AMBULATORY SURGICAL CENTERS (ASC) › Section 317:30-5-568 - Elective sterilizations

Current through Vol. 41, No. 20, July 1, 2024
Payment is made to ambulatory surgical centers for elective
					 sterilizations performed in behalf of eligible individuals if all of the
					 following circumstances are met:
(1)
				  The patient must be at least 21 years of age at the time the consent form is
				  signed,
(2) The patient must be
				  mentally competent,
(3) A properly
				  completed federally mandated consent for sterilization form is attached to the
				  claim, and
(4) The form is signed
				  and dated at least 30 days, but not more than 180 days prior to
				  surgery.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 24 Ok Reg 114, eff 9-1-07 (emergency); Amended at 25 Ok Reg
					 1161, eff 5-25-08
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 64 - CLINIC SERVICES › Section 317:30-5-575 - General information

Current through Vol. 41, No. 20, July 1, 2024
(a)
Clinic
				  services.
Clinic services means preventive, diagnostic, therapeutic,
				  rehabilitative, or palliative services that are furnished by a facility that is
				  not part of a hospital but is organized and operated to provide medical care to
				  outpatients. The term includes the following services furnished to outpatients:
(1) Services furnished at the clinic by or
				  under the direction of a physician or a dentist.
(2) Services furnished outside the clinic, by
				  clinic personnel under the direction of a physician, to an eligible individual
				  who does not reside in a permanent dwelling or does not have a fixed home or
				  mailing address.
(3) Teleheath and
				  audio-only health service delivery requires either the provider or the member
				  to be located at the freestanding clinic that is providing services pursuant to
				  42 Code of Federal Regulations (CFR) § 440.90. Refer to section Oklahoma
				  Administrative Code (OAC)
				  317:30-3-27 for telehealth policy
				  and OAC 317:30-3-27.1 for audio-only
				  telecommunication policy.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 64 - CLINIC SERVICES › Section 317:30-5-575 - General information

Current through Vol. 41, No. 20, July 1, 2024
(a)
Clinic
				  services.
Clinic services means preventive, diagnostic, therapeutic,
				  rehabilitative, or palliative services that are furnished by a facility that is
				  not part of a hospital but is organized and operated to provide medical care to
				  outpatients. The term includes the following services furnished to outpatients:
(1) Services furnished at the clinic by or
				  under the direction of a physician or a dentist.
(2) Services furnished outside the clinic, by
				  clinic personnel under the direction of a physician, to an eligible individual
				  who does not reside in a permanent dwelling or does not have a fixed home or
				  mailing address.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 64 - CLINIC SERVICES › Section 317:30-5-576 - Eligible providers

Current through Vol. 41, No. 20, July 1, 2024
(a)
General requirements.
To be an eligible clinic provider, a clinic
				  must be under the direction of a physician who is on the premises and who is a
				  SoonerCare enrolled provider. In addition, the supervising physician must meet
				  any other applicable licensure or certification required by State law or meet
				  Medicare certification for participation. All clinic providers must have a
				  current contract with the Oklahoma Health Care Authority (OHCA). The OHCA will
				  review all clinic contracts to ensure compliance with all OHCA requirements, as
				  well as all State and Federal laws. The OHCA has discretion and the final
				  authority to approve or deny any provider contract.
(b)
National Provider Identification
				  (NPI).
The clinic must have an organizational NPI number and each
				  individual licensed physician and licensed non-physician practitioner must have
				  an individual NPI and meet the provider qualification requirements applicable
				  to the same service when it is furnished in other settings.
(c)
Written patient care
				  policies.
A clinic under this Part must establish, in writing:
(1) a description of health services provided
				  by the clinic;
(2) policies
				  concerning the medical management of health problems including health
				  conditions which require referral to physicians and provision of emergency
				  health services; and
(3) policies
				  concerning the maintenance and review of health records by the physician or
				  dentist.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 64 - CLINIC SERVICES › Section 317:30-5-577 - Coordination of care

Current through Vol. 41, No. 20, July 1, 2024
The SoonerCare member's Primary Care Provider (PCP) is
					 responsible for coordinating or delivering preventive and primary care services
					 which are medically necessary to all SoonerCare members enrolled with him/her.
					 If a service is rendered in the clinic setting, the clinic must forward
					 information for the patient file regarding the diagnosis, services rendered and
					 need for follow-up to the member's PCP, in order to ensure continuity of
					 care.
Added at 28 Ok Reg
					 1394, eff 6-25-11
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 64 - CLINIC SERVICES › Section 317:30-5-578 - Limitation on services

Current through Vol. 41, No. 20, July 1, 2024
Coverage is the same for adults and children unless
					 otherwise indicated. Services are subject to the same limitations elsewhere in
					 OHCA rules unless otherwise specified and to professional services rendered by
					 health professionals acting within the scope of practice under State
					 law.
Added at 28 Ok Reg
					 1394, eff 6-25-11
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 64 - CLINIC SERVICES › Section 317:30-5-579 - Prescription drugs purchased under the 340B Drug Discount Program provided by Clinics

Current through Vol. 41, No. 20, July 1, 2024
For 340B Drug Discount Program guidelines refer to section
					 317:30-5-87.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 65 - CASE MANAGEMENT SERVICES FOR OVER 21 › Section 317:30-5-585 - Eligible providers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 14 Ok Reg 1229, eff 8-7-96 (emergency); Amended at 14 Ok
					 Reg 2402, eff 11-25-96 (emergency); Amended at 14 Ok Reg 774, eff 1-24-97
					 (emergency); Amended at 14 Ok Reg 1792, eff 5-27-97; Amended at 18 Ok Reg 2571,
					 eff 6-25-01; Amended at 24 Ok Reg 2847, eff 7-1-07 (emergency); Amended at 25
					 Ok Reg 1200, eff 5-25-08; Revoked at 27 Ok Reg 808, eff 3-3-10 (emergency);
					 Revoked at 27 Ok Reg 1458, eff 6-11-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 65 - CASE MANAGEMENT SERVICES FOR OVER 21 › Section 317:30-5-586 - Coverage by category [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 14 Ok Reg 1229, eff 8-7-96 (emergency); Amended at 14 Ok
					 Reg 1780, eff 5-27-97; Amended at 18 Ok Reg 2571, eff 6-25-01; Amended at 24 Ok
					 Reg 2847, eff 7-1-07 (emergency); Amended at 25 Ok Reg 1200, eff 5-25-08;
					 Revoked at 27 Ok Reg 808, eff 3-3-10 (emergency); Revoked at 27 Ok Reg 1458,
					 eff 6-11-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 65 - CASE MANAGEMENT SERVICES FOR OVER 21 › Section 317:30-5-586.1 - Prior authorization [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg
					 2571, eff 6-25-01; Amended at 23 Ok Reg 771, eff 3-9-06 (emergency); Amended at
					 23 Ok Reg 2440, eff 6-25-06; Amended at 24 Ok Reg 2847, eff 7-1-07 (emergency);
					 Amended at 25 Ok Reg 1200, eff 5-25-08; Revoked at 27 Ok Reg 2760, eff 7-20-10
					 (emergency); Revoked at 28 Ok Reg 1439, eff
					 6-25-11
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 65 - CASE MANAGEMENT SERVICES FOR OVER 21 › Section 317:30-5-587 - Reimbursement [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 14 Ok Reg 1229, eff 8-7-96 (emergency); Amended at 14 Ok
					 Reg 1780, eff 5-27-97; Amended at 18 Ok Reg 2571, eff 6-25-01; Amended at 19 Ok
					 Reg 2134, eff 6-27-02; Revoked at 24 Ok Reg 2847, eff 7-1-07 (emergency);
					 Revoked at 25 Ok Reg 1200, eff 5-25-08
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 65 - CASE MANAGEMENT SERVICES FOR OVER 21 › Section 317:30-5-588 - Billing [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 14 Ok Reg 1229, eff 8-7-96 (emergency); Amended at 14 Ok
					 Reg 1780, eff 5-27-97; Revoked at 24 Ok Reg 2847, eff 7-1-07 (emergency);
					 Revoked at 25 Ok Reg 1200, eff 5-25-08
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 65 - CASE MANAGEMENT SERVICES FOR OVER 21 › Section 317:30-5-589 - Documentation of records [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 18 Ok Reg 2571, eff 6-25-01; Amended at 24 Ok Reg 2853, eff
					 7-1-07 (emergency); Amended at 25 Ok Reg 1200, eff 5-25-08; Revoked at 27 Ok
					 Reg 2760, eff 7-20-10 (emergency); Revoked at 28 Ok Reg 1439, eff
					 6-25-11
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 67 - BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES › Section 317:30-5-595

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg 751, eff 1-5-95 through 7-14-95
						(emergency) ; Added at 12 Ok Reg 3131, eff 7-27-95 ; Amended at 14 Ok Reg 1232,
						eff 8-7-96 (emergency) ; Amended at 14 Ok Reg 777, eff 11-25-96 (emergency) ;
						Amended at 14 Ok Reg 774, eff 1-24-97 (emergency) ; Amended at 14 Ok Reg 1792,
						eff 5-27-97 ; Amended at 18 Ok Reg 2571, eff 6-25-01 ; Amended at 20 Ok Reg
						2886, eff 7-1-03 (emergency) ; Amended at 21 Ok Reg 2210, eff 6-25-04 ; Amended
						at 23 Ok Reg 2557, eff 6-25-06 ; Amended at 24 Ok Reg 2853, eff 7-1-07
						(emergency) ; Amended at 25 Ok Reg 1200, eff 5-25-08 ; Amended at 27 Ok Reg
						808, eff 3-3-10 (emergency) ; Amended at 27 Ok Reg 1458, eff 6-11-10 ; Amended
						at 27 Ok Reg 2760, eff 7-20-10 (emergency) ; Amended at 28 Ok Reg 1439, eff
						6-25-11 ; Amended at 30 Ok Reg 1146, eff
						7-1-13
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 67 - BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES › Section 317:30-5-596

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 14 Ok Reg 1232, eff 8-7-96 (emergency); Amended at 14 Ok
					 Reg 1780, eff 5-27-97; Amended at 18 Ok Reg 2571, eff 6-25-01; Amended at 20 Ok
					 Reg 2886, eff 7-1-03 (emergency); Amended at 21 Ok Reg 2210, eff 6-25-04;
					 Amended at 23 Ok Reg 2557, eff 6-25-06; Amended at 24 Ok Reg 2853, eff 7-1-07
					 (emergency); Amended at 25 Ok Reg 1200, eff 5-25-08; Amended at 27 Ok Reg 808,
					 eff 3-3-10 (emergency); Amended at 27 Ok Reg 1458, eff 6-11-10; Amended at 27
					 Ok Reg 2760, eff 7-20-10 (emergency); Amended at 28 Ok Reg 1439, eff 6-25-11;
					 Amended at 29 Ok Reg 413, eff 3-7-12 (emergency); Amended at 29 Ok Reg 1125,
					 eff 6-25-12
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 67 - BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES › Section 317:30-5-596.1 - Prior authorization [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg 2571, eff 6-25-01 ; Amended at 20 Ok
						Reg 2886, eff 7-1-03 (emergency) ; Amended at 21 Ok Reg 2210, eff 6-25-04 ;
						Amended at 23 Ok Reg 771, eff 3-9-06 (emergency) ; Amended at 23 Ok Reg 2557,
						eff 6-25-06 ; Amended at 24 Ok Reg 2853, eff 7-1-07 (emergency) ; Amended at 25
						Ok Reg 1200, eff 5-25-08 ; Amended at 27 Ok Reg 808, eff 3-3-10 (emergency) ;
						Amended at 27 Ok Reg 1458, eff 6-11-10 ; Amended at 29 Ok Reg 413, eff 3-7-12
						(emergency) ; Amended at 29 Ok Reg 1125, eff 6-25-12 ; Amended at 30 Ok Reg
						1146, eff 7-1-13
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 67 - BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES › Section 317:30-5-596.2 - Direct and Indirect Case Management services [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 20 Ok Reg
					 2886, eff 7-1-03 (emergency); Added at 21 Ok Reg 2210, eff 6-25-04; Amended at
					 23 Ok Reg 2557, eff 6-25-06; Revoked at 27 Ok Reg 808, eff 3-3-10 (emergency);
					 Revoked at 27 Ok Reg 1458, eff 6-11-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 67 - BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES › Section 317:30-5-597 - Reimbursement [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 14 Ok Reg 1232, eff 8-7-96 (emergency); Amended at 14 Ok
					 Reg 1780, eff 5-27-97; Amended at 18 Ok Reg 2571, eff 6-25-01; Amended at 19 Ok
					 Reg 2134, eff 6-27-02; Amended at 20 Ok Reg 2886, eff 7-1-03 (emergency);
					 Amended at 21 Ok Reg 2210, eff 6-25-04; Revoked at 23 Ok Reg 2557, eff
					 6-25-06
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 67 - BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES › Section 317:30-5-598 - Billing [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 14 Ok Reg 1232, eff 8-7-96 (emergency); Amended at 14 Ok
					 Reg 1780, eff 5-27-97; Amended at 18 Ok Reg 2571, eff 6-25-01; Revoked at 23 Ok
					 Reg 2557, eff 6-25-06
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 67 - BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES › Section 317:30-5-599

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 18 Ok Reg 2571, eff 6-25-01; Amended at 20 Ok Reg 2886, eff
					 7-1-03 (emergency); Amended at 21 Ok Reg 2210, eff 6-25-04; Amended at 23 Ok
					 Reg 2557, eff 6-25-06; Amended at 24 Ok Reg 2853, eff 7-1-07 (emergency);
					 Amended at 25 Ok Reg 1200, eff 5-25-08
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 69 - CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 317:30-5-605 - Eligible providers

Current through Vol. 41, No. 20, July 1, 2024
Payment is made directly to Certified Registered Nurse
					 Anesthetists (CRNA) for compensable anesthesia services within their scope of
					 practice under state law. The CRNA must be licensed to practice under
					 applicable state laws. In addition, the CRNA must have a current provider
					 contract on file with the Oklahoma Health Care Authority
					 (OHCA).
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 26 Ok Reg 1759, eff 7-1-09 (emergency); Amended at 27 Ok
					 Reg 937, eff 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 69 - CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 317:30-5-606 - Coverage by category

Current through Vol. 41, No. 20, July 1, 2024
Payment is made to certified registered nurse anesthetists
					 as set forth in this Section.
(1)
Adults.
Payment is made for the administration of anesthesia to
				  adults within the scope of the Authority's medical programs, provided the
				  services are reasonable and necessary for the treatment of illness or injury,
				  or to improve the functioning of a malformed body member.
(2)
Children.
Coverage for
				  children is the same as for adults.
(3)
Individuals eligible for Part B of
				  Medicare.
Payment is made utilizing the Medicaid allowable for
				  comparable services.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 19 Ok Reg 2134, eff 6-27-02; Amended at 19 Ok Reg 2922, eff
					 7-1-02 (emergency); Amended at 20 Ok Reg 1193, eff
					 5-27-03
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 69 - CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 317:30-5-607 - Billing instructions

Current through Vol. 41, No. 20, July 1, 2024
The CRNA is responsible for entering the correct anesthesia
					 procedure code on the appropriate claim form. Anesthesia codes from the
					 Physicians' Current Procedural Terminology or Medicare assigned codes should be
					 used.
(1) Payment is made only for the
				  major procedure during an operative session.
(2) All anesthesia procedure codes must have
				  a modifier. Without the modifier, the claim will be denied. Payment to the CRNA
				  is limited to 80% of the physician allowable for anesthesia services without
				  medical direction using modifier QZ and 50% of the physician allowable when
				  services are provided under the medical direction of an anesthesiologist using
				  modifier QX.
(3) Certain codes in
				  the Medicine section of the CPT are used to identify extraordinary anesthesia
				  services. Additional payment can be made when applicable for extremes of age,
				  total body hypothermia and controlled hypertension.
(4) All other qualifying circumstances, i.e.,
				  physical status, emergency, etc., have been structured into the total allowable
				  for the procedure.
(5) Hypothermia
				  total body or regional is not covered unless medical necessity is documented
				  and approved through review by the Authority's Medical Consultants.
(6) Payment for placement of central venous
				  catheter, injection of anesthesia substance or similar procedures will be made
				  only when the procedure is distinctly separate from the anesthesia
				  procedure.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 19 Ok Reg 2134, eff 6-27-02; Amended at 20 Ok Reg 1924, eff
					 6-26-03; Amended at 26 Ok Reg 1759, eff 7-1-09 (emergency); Amended at 27 Ok
					 Reg 937, eff 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 69 - CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 317:30-5-608 - Elective sterilizations [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Revoked at 26 Ok Reg 1759, eff 7-1-09 (emergency); Revoked at 27 Ok
					 Reg 937, eff 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 69 - CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 317:30-5-609 - Hysterectomies [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Revoked at 26 Ok Reg 1759, eff 7-1-09 (emergency); Revoked at 27 Ok
					 Reg 937, eff 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 69 - CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 317:30-5-610 - Abortions [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 15 Ok Reg 4194, eff 7-20-98 (emergency); Amended at 16 Ok
					 Reg 1429, eff 5-27-99; Revoked at 26 Ok Reg 1759, eff 7-1-09 (emergency);
					 Revoked at 27 Ok Reg 937, eff 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 69 - CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 317:30-5-611 - Payment methodology

Current through Vol. 41, No. 20, July 1, 2024
Payment to the CRNA is limited to 80% of the physician
					 allowable for anesthesia services performed without medical direction and 50%
					 of the physician allowable when services are provided under the medical
					 direction of a licensed physician.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 26 Ok Reg 1759, eff 7-1-09 (emergency); Amended at 27 Ok
					 Reg 937, eff 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 70 - ANESTHESIOLOGIST ASSISTANTS › Section 317:30-5-612 - Eligible providers

Current through Vol. 41, No. 20, July 1, 2024
Payment is made directly to Anesthesiologist Assistants
					 (AA) for compensable anesthesia services within their scope of practice under
					 state law. The AA must be licensed to practice under applicable state laws. In
					 addition, the AA must have a current provider contract on file with the
					 Oklahoma Health Care Authority (OHCA).
Added at 26 Ok Reg
					 1759, eff 7-1-09 (emergency); Added at 27 Ok Reg 937, eff
					 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 70 - ANESTHESIOLOGIST ASSISTANTS › Section 317:30-5-613 - Coverage by category

Current through Vol. 41, No. 20, July 1, 2024
Payment is made to Anesthesiologist Assistants as set forth
					 in this Section.
(1)
Adults.
Payment is made for the administration of anesthesia to
				  adults within the scope of the Authority's medical programs, provided the
				  services are reasonable and necessary for the treatment of illness or injury,
				  or to improve the functioning of a malformed body member.
(2)
Children.
Coverage for
				  children is the same as for adults.
(3)
Individuals eligible for Part B of
				  Medicare.
Payment is made utilizing the Medicaid allowable for
				  comparable services.
Added at 26 Ok Reg
					 1759, eff 7-1-09 (emergency); Added at 27 Ok Reg 937, eff
					 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 70 - ANESTHESIOLOGIST ASSISTANTS › Section 317:30-5-614 - Billing instructions

Current through Vol. 41, No. 20, July 1, 2024
The AA is responsible for entering the correct anesthesia
					 procedure code on the appropriate claim form. Anesthesia codes from the
					 Physicians' Current Procedural Terminology or Medicare assigned codes should be
					 used.
(1) Payment is made only for the
				  major procedure during an operative session.
(2) All anesthesia procedure codes must have
				  a modifier. Without the modifier, the claim will be denied. Payment is made to
				  an AA for services provided under the direct supervision of a licensed
				  anesthesiologist and is limited to 50% of the physician allowable using
				  modifier QX.
(3) Certain codes in
				  the Medicine section of the CPT are used to identify extraordinary anesthesia
				  services. Additional payment can be made when applicable for extremes of age,
				  total body hypothermia and controlled hypertension.
(4) All other qualifying circumstances, i.e.,
				  physical status, emergency, etc., have been structured into the total allowable
				  for the procedure.
(5) Hypothermia
				  total body or regional is not covered unless medical necessity is documented
				  and approved through review by the Authority's Medical Consultants.
(6) Payment for placement of central venous
				  catheter, injection of anesthesia substance or similar procedures will be made
				  only when the procedure is distinctly separate from the anesthesia
				  procedure.
Added at 26 Ok Reg
					 1759, eff 7-1-09 (emergency); Added at 27 Ok Reg 937, eff
					 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 70 - ANESTHESIOLOGIST ASSISTANTS › Section 317:30-5-615 - Payment methodology

Current through Vol. 41, No. 20, July 1, 2024
Payment to the AA is limited to 50% of the physician
					 allowable for anesthesia services.
Added at 26 Ok Reg
					 1759, eff 7-1-09 (emergency); Added at 27 Ok Reg 937, eff
					 5-13-10
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 71 - EARLY INTERVENTION CASE MANAGEMENT SERVICES › Section 317:30-5-620 - Eligible providers

Current through Vol. 41, No. 20, July 1, 2024
Services are provided statewide by case management
					 providers established for the purpose of providing early intervention case
					 management services. Services must be made available to all eligible recipients
					 on a statewide basis, in a manner that ensures continuity of services, without
					 duplication and in compliance with federal and state mandates and regulations
					 related to servicing the targeted population in a uniform and consistent
					 manner.
(1)
Department of
				  Education criteria.
OHCA will reimburse case managers who meet program
				  criteria set by the Oklahoma State Department of Education (OSDE), the
				  certification agency. Case manager qualifications are:
(A) Knowledge or community-based, facility
				  and institutional resources available to the target group and the experience to
				  link to said resources;
(B)
				  Experience in working in education, health or human service field;
(C) Administrative experience to meet state
				  and federal requirements as well as requirements set out by the certifying
				  agency;
(D) Ability to maintain
				  programmatic and financial records required by the certifying agency including
				  the capacity to document case records consistent with program standards and
				  state and federal requirements;
(E)
				  Graduation from an accredited college or university with a bachelor's degree in
				  education, social work, health-related field and one year of experience in one
				  of more of these fields;
(F)
				  Receipt of approved State Department of Education Training; and
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 71 - EARLY INTERVENTION CASE MANAGEMENT SERVICES › Section 317:30-5-621 - Coverage by category

Current through Vol. 41, No. 20, July 1, 2024
Payment is made for early intervention case
					 management
(1)
Adults.
There is no coverage.
(2)
Children.
Coverage for children (age o to age 3) is as follows:
(A)
Description.
(i) Services under case management are not
				  comparable in amount, duration and scope. The target group for case management
				  services are developmentally disabled infants and toddlers (ages 0-3) who are
				  eligible for early intervention services under Oklahoma's implementation plan
				  to meet provisions of the Individuals with Disabilities Education Act (IDEA),
				  Amendments of 1997.
(ii) Case
				  management refers to services provided to assist a client in gaining access to
				  needed medical, social, educational and other services essential to meeting
				  basic human needs. Case management may include, but is not limited to:
(I) referral, coordination and linkage to
				  needed services;
(II) arranging for
				  service delivery to ensure access to needed services;
(III) monitoring and follow-up of client's
				  activities to insure access, quality and delivery of needed services;
				  and
(IV) preparation of case record
				  documentation documenting the above activities.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 71 - EARLY INTERVENTION CASE MANAGEMENT SERVICES › Section 317:30-5-622 - Reimbursement

Current through Vol. 41, No. 20, July 1, 2024
Reimbursement for early intervention case management
					 services will be based on a unit of service of 10 minutes.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 16 Ok Reg 1927, eff 6-11-99; Amended at 19 Ok Reg 2134, eff
					 6-27-02
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 71 - EARLY INTERVENTION CASE MANAGEMENT SERVICES › Section 317:30-5-623 - Billing [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 16 Ok Reg 1927, eff 6-11-99; Revoked at 19 Ok Reg 2134, eff
					 6-27-02
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 71 - EARLY INTERVENTION CASE MANAGEMENT SERVICES › Section 317:30-5-624 - Documentation of records

Current through Vol. 41, No. 20, July 1, 2024
All early intervention case management services rendered
					 must be reflected by documentation in the records. When billing for procedures
					 which are reimbursed on a time frame basis, documentation should be placed in
					 the patient's chart as to the beginning and ending times for the services
					 claimed.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-640 - General provisions and eligible providers

Current through Vol. 41, No. 20, July 1, 2024
(a)
General provisions.
(1) Payment is made to eligible providers
				  certified by the Oklahoma State Department of Education (OSDE) or the Oklahoma
				  State Department of Health (OSDH) for the delivery of Early Periodic Screening,
				  Diagnosis and Treatment (EPSDT) services to infants and toddlers from birth up
				  to their third birthday with developmental disabilities, pursuant to the
				  requirements of the Individuals with Disabilities Education Improvement Act
				  (IDEIA) of 2004, Public
				  Law 108-446 Part C, and subsequent
				  amendments.
(2) EPSDT services are
				  comprehensive child-health services, designed to ensure the availability of,
				  and access to, required health care resources and to help parents and guardians
				  of SoonerCare eligible children use these resources. Effective EPSDT services
				  assure that health problems are diagnosed and treated early before they become
				  more complex and their treatment more costly. The OSDE and the OSDH play a
				  significant role in educating parents about EPSDT services.
(3) An Individualized Family Services Plan
				  (IFSP) entitles the SoonerCare eligible child to medically necessary and
				  appropriate health related EPSDT treatment services. Such services must be
				  allowable under federal Medicaid regulations and must be necessary to
				  ameliorate or correct defects of physical or mental illnesses or
				  conditions.
(4) Federal regulations
				  require that the State set standards and protocols for each component of EPSDT
				  services. The standards must provide for services at intervals that meet
				  reasonable standards of medical and dental practice. The standards must also
				  provide for EPSDT services at other intervals as medically necessary to
				  determine the existence of certain physical and mental illnesses or conditions.
				  SoonerCare providers who offer EPSDT screenings must assure that the screenings
				  they provide meet the minimum standards for those services in order to be
				  reimbursed at the level established for EPSDT services.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-640.1 - Periodicity schedule

Current through Vol. 41, No. 20, July 1, 2024
(a) The Oklahoma
				  Health Care Authority requires that all physicians providing reimbursable Early
				  and Periodic Screening, Diagnostic and Treatment (EPSDT) screens adopt and
				  utilize the American Academy of Pediatrics and Bright Futures periodicity
				  schedule.
(b) Medicaid-eligible
				  children and adolescents enrolled in SoonerCare are referred to their
				  SoonerCare provider for EPSDT screens. In cases where the SoonerCare provider
				  authorizes the qualified provider of health related services to perform the
				  screen or fails to schedule an appointment within three (3) weeks and a request
				  has been made and documented by the staff of the Oklahoma State Department of
				  Education and Oklahoma State Department of Health (OSDH), or the latter's
				  contractors, the OSDH may then furnish the EPSDT child-health screening and
				  bill it as a fee-for-service(FFS) activity. Results of the child-health
				  screening are forwarded to the member's SoonerCare provider.
(c) For periodic and interperiodic screening
				  examination, please refer to Oklahoma Administrative Code
				  317:30-3-65
				  through
				  317:30-3-65.12.
Added at 16 Ok Reg
					 1927, eff 6-11-99; Amended at 23 Ok Reg 2562, eff
					 6-25-06
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-641.1 - Periodic and interperiodic screening examination [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 16 Ok Reg
					 1927, eff 6-11-99; Amended at 23 Ok Reg 2562, eff
					 6-25-06
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-641.2 - Interperiodic screening examination [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 16 Ok Reg
					 1927, eff 6-11-99; Revoked at 23 Ok Reg 2562, eff
					 6-25-06
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-641.3 - Reporting of suspected child abuse/neglect

Current through Vol. 41, No. 20, July 1, 2024
Refer to OAC
					 317:30-5-2(b)(6).
Added at 16 Ok Reg
					 1927, eff 6-11-99; Amended at 23 Ok Reg 2562, eff
					 6-25-06
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-642 - Services [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 16 Ok Reg 1927, eff 6-11-99; Amended at 18 Ok Reg 2579, eff
					 6-25-01; Amended at 18 Ok Reg 3633, eff 8-22-01 (emergency); Amended at 19 Ok
					 Reg 1067, eff 5-13-02; Amended at 19 Ok Reg 2134, eff 6-27-02; Revoked at 23 Ok
					 Reg 2562, eff 6-25-06
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-643 - Billing [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 16 Ok Reg 1927, eff 6-11-99; Amended at 18 Ok Reg 2579, eff
					 6-25-01; Revoked at 19 Ok Reg 2134, eff 6-27-02
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 73 - EARLY INTERVENTION SERVICES › Section 317:30-5-644 - Documentation of records

Current through Vol. 41, No. 20, July 1, 2024
All early intervention services rendered must be reflected
					 by documentation in the records. Documentation of records must include the
					 provider's signature or identifiable initials for every prescription or
					 treatment. Documentation of records may be completed manually or electronically
					 in accordance with guidelines found at OAC
					 317:30-3-15.
					 Each required element of the age specific screening must be documented with a
					 description of any noted problem anomaly or concern. In addition, a plan for
					 following necessary diagnostic evaluations, procedures and treatments, must be
					 documented.
Added at 12 Ok Reg
					 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
					 7-27-95; Amended at 16 Ok Reg 1927, eff 6-11-99; Amended at 18 Ok Reg 2579, eff
					 6-25-01; Amended at 19 Ok Reg 2134, eff 6-27-02; Amended at 23 Ok Reg 2562, eff
					 6-25-06