SECTION 317:30-5-498. Coverage limitations

(a)   Coverage limitations for specialized foster care (SFC) are:

(1)   Description: close supervision; Unit: one day; 366 units each 12 months.

(2)   Description: maximum supervision; Unit: one day; 366 units each 12 months.

(b)   Members are required to pay room and board expenses from their own funds as SFC does not include the cost of room and board.

(c)   Members may not simultaneously receive group home services, daily living supports, or agency companion services.

(d)   Members who are in the custody of the Oklahoma Department of Human Services (OKDHS) and in out-of-home placement funded by OKDHS Children and Family Services Division are not eligible for SFC.

(e)   When a member changes providers, only the outgoing service provider claims for the date the member moves.

[Source: 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 3820, eff 7-1-98 (emergency); Amended at 16 Ok Reg 1429, eff 5-27-99; Amended at 19 Ok Reg 2134, eff 6-27-02; Amended at 25 Ok Reg 2675, eff 7-25-08]