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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 310. Oklahoma State Department of Health |
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Chapter 662. Home Care Agencies |
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Subchapter 2. Licenses |
SECTION 310:662-2-1. Licensure
Latest version.
- (a) Base of operation. Any home care agency providing home care services in Oklahoma shall operate from a place of business which is accessible to the public and physically located in Oklahoma. Staff providing services from each home care agency shall be supervised by personnel at that location.(b) Applicant. Any person, corporation, partnership, association or other legal entity desiring to obtain a license to establish, or to obtain a renewal license to operate, a home care agency in this State shall make application to the State Department of Health in such form and accompanied by such information as the State Commissioner of Health shall prescribe. All applications shall include disclosure statements completed by the applicant which shall include, but not be limited to, the following information:(1) The full name and address of the applicant, and all affiliated persons;(2) The full name and address of any legal entity in which the applicant holds a debt or equity interest of at least five percent (5%) or which is a parent company or subsidiary of the applicant;(3) A description of any ongoing organizational relationships as they may affect operations within the state;(4) The names, locations, and dates of ownership, operation, or management for all current and prior home care agencies owned, operated or managed in this State or in any other State by the applicant or by any affiliated persons;(5) The name and location of the home care agency for which a license is sought;(6) The full name and address of the applicant, and all affiliated persons, under whose ownership, operation, management, or supervision the home care agency will be conducted; and(7) An affidavit attesting to the information provided.(c) Initial applicant data. Information supplied by initial applicants shall include, but not be limited to, the following information:(1) Projected number of visits or shifts per month for six (6) months beginning from the date of application.(2) Evidence of staffing availability sufficient to cover projected visits/shifts.(3) Evidence of financial solvency to include resources sufficient to ensure the agency's ability to provide adequate home care services. The agency shall have an annual operating budget which ensures sufficient resources to meet operating costs at all times and to maintain standards as required by this Chapter.(4) If required by law, proof of business registration with the Secretary of State.(5) Proof of liability insurance coverage of at least one hundred thousand dollars ($100,000.00) per occurrence, three hundred thousand dollars ($300,000.00) aggregate. Each agency shall maintain at least this level of coverage.(6) Evidence of the applicant's prior business and professional experience in prior health care provider operations including, but not limited to, nursing homes, residential care homes, home care agencies, and hospices. The applicant shall disclose to the Department the compliance history of any person or persons having ownership, operational, management or supervisory authority in the agency. Compliance history disclosure shall include lawful orders of suspension, receivership, administrative penalty or sanction issued by the Department or by other administrative agencies in other states with similar responsibilities.(7) Proof that the agency's administrator is currently certified by the Department as a home care agency administrator.(d) Licensure fees.(1) An application for an initial license to establish or operate a new home care agency or subunit shall be accompanied by a nonrefundable application fee of one thousand dollars($1,000.00).(2) A renewal application for an existing home care agency or subunit shall be accompanied by a nonrefundable licensing fee of five hundred dollars ($500.00).(3) An application for license, or renewal thereof, to establish or operate a home care agency branch office of an agency licensed in the State of Oklahoma shall be accompanied by a nonrefundable licensing fee of twenty-five dollars ($25.00).(4) Fees for renewal licenses prorated to expire on July 31 shall be based on the number of quarters [i.e. three (3) months] or portions thereof for the license. The fee for each quarter or portion thereof shall be one hundred twenty-five dollars ($125.00) for each parent agency or subunit license and six dollars and twenty-five cents ($6.25) for each branch license.(e) Exemptions. The provisions of the Act and promulgated rules shall not apply to:(1) A person acting alone who provides services in the home of a relative, neighbor or friend.(2) A person who provides maid services only.(3) A nurse service or home aide service conducted by and for the adherents to any religious denomination, the tenets of which include reliance on spiritual means through prayer alone for healing.(4) A person providing hospice services pursuant to the Oklahoma Hospice Licensing Act.(5) A nurse-midwife. [63 O.S. Supp. 1996, § 1-1962(C)](f) Transfer of ownership of a licensed agency.(1) Legal assignment. The license for a home care agency is not transferable or assignable except a license may be transferred to any affiliated person, parent company or subsidiary of the applicant or legal entity which has an ongoing organizational relationship with the applicant. Proof of legal assignment with accompanying application for licensure shall be filed with the Department at the time of the change. There shall be no fee for legal assignment of an agency license.(2) Acquisition of a licensed agency. If an entity is considering acquisition of a licensed agency, an application for license with a five hundred dollar ($500.00) fee for the agency and twenty-five dollar ($25.00) fee for each branch office operated by a parent agency shall be filed with the Department at least thirty (30) days prior to the effective date of the change. A copy of the executed sales agreement shall be provided to the Department.(3) If a corporate licensee amends its articles of incorporation to revise its name, this subsection does not apply. The sale of stock of a corporate licensee does not cause this subsection to apply.(4) No license shall be transferred from one location to another unless the Department is notified. If an agency is considering relocation, the agency shall notify the Department thirty (30) days prior to the intended relocation. The Department shall provide written notification to the agency amending the annual license to reflect the new location.(5) Upon the effective date of a change of ownership or upon cessation of operation of an agency, the current license shall be mailed or returned to the Department. The agency shall advise the Department in writing at the time of cessation of operation where agency medical records shall be archived and how these records shall be accessed.(g) Licensure issuance/renewal.(1) A home care agency license shall be renewed annually. Each license shall expire on July 31 of each year.(2) An initial license shall be issued for twelve (12) months. Initial licenses which do not expire on July 31 shall be renewed so that the renewal license shall expire on July 31. The fee for the renewal license following the issue of an initial license which does not expire on July 31 shall be prorated on a quarterly basis.(3) Prior to license renewal the applicant shall submit proof of:(A) Liability insurance coverage of at least one hundred thousand dollars ($100,000.00) per occurrence, three hundred thousand dollars ($300,000.00) aggregate.(B) Proof that the agency's administrator is currently certified by the Department as home care agency administrators.(4) A home care agency license shall be posted in a conspicuous place, open to the public, at the licensed premises.(5) The license shall be issued only for the premises named in the application.(h) Deadlines for applications. The license application shall be filed in accordance with the following deadlines.(1) The application for an initial home care agency license shall be filed at least thirty (30) days before beginning operations.(2) The application for an initial license, for a transfer of ownership or operation, shall be filed at least thirty (30) days prior to the transfer. If the Department finds that an emergency exists which threatens the welfare of clients, the thirty (30) day advance filing notice may be waived.(3) The application for renewal of a licensed existing home care agency shall be filed at least thirty (30) days prior to the expiration date of the license.(4) An incomplete initial or renewal application received by the Department shall be summarily dismissed after thirty (30) days of applicant notification of an incomplete application. Thereafter, the applicant shall submit a new application and the initial or renewal fee.