SECTION 317:30-5-208. Reimbursement  


Latest version.
  • (a)   Maternal and infant health social work services must be billed using appropriate CPT codes and guidelines.
    (b)   SoonerCare does not allow more than 32 units (15 minutes = 1 unit) during the pregnancy which includes 60 days postpartum.
    (c)   LCSWs that are employed by or remunerated by another provider may not bill the SoonerCare program directly for services if that billing would result in duplicate payment for the same service.
    (d)   Only the LCSW directly performing the care or a county health department may bill the SoonerCare Program.
    (e)   The time indicated on the claim form must be the time actually spent with the member.
[Source: Added at 25 Ok Reg 423, eff 11-1-07 (emergency); Added at 25 Ok Reg 1161, eff 5-25-08]