Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 317. Oklahoma Health Care Authority |
Chapter 30. Medical Providers-Fee for Service |
Subchapter 5. Individual Providers and Specialties |
Part 75. FEDERALLY QUALIFIED HEALTH CENTERS |
SECTION 317:30-5-661.2. Services and supplies "incident to" Health Center encounters
Latest version.
- (a) Services and supplies incident to the service of covered health center providers may be covered if the service or supply is:(1) of a type commonly furnished in physician offices;(2) of a type commonly rendered either without charge or included in the Health Center's bill;(3) furnished as an incidental, although integral, part of professional services furnished by a physician, advanced practice nurse, physician assistant, certified nurse midwife, or specialized advanced practice nurse;(4) furnished under the direct, personal supervision of an advanced practice nurse, physician assistant, certified nurse midwife, specialized advanced practice nurse or a physician; and(5) in the case of a service, furnished by a member of the Health Center's health care staff who is an employee or contractor of the organization.(b) "Services and supplies incident to" include services such as minor surgery, reading x-rays, setting casts or simple fractures and other activities that involve evaluation or treatment of a patient's condition. They also include laboratory services performed by the Health Center, specimen collection for laboratory services furnished by an off-site CLIA certified laboratory and injectable drugs.