SECTION 317:30-5-950. Eligible providers

  Reimbursement for personal care is made only to agencies that are certified as home care agency providers by the Oklahoma State Department of Health and are certified by the ADvantage Administration (AA) as meeting applicable federal, state and local laws, rules and regulations. In order to be eligible for reimbursement, the home care agency must have an approved provider agreement on file with the Oklahoma Health Care Authority (OHCA), per Oklahoma Administrative Code (OAC) 317:30-30-3-2. Service time of personal care is documented solely through the Electronic Visit Verification (EVV) system when services are provided in the member's home. The home care agency is required to use the EVV system. The EVV system provides alternate backup solutions when the automated system is unavailable. In the event of EVV backup system failure, the provider documents the time in accordance with their agency backup plan. The agency's backup procedures are only permitted when the EVV system is unavailable. Refer to OAC 317:35-17-22 for additional instructions.

[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 18 Ok Reg 2962, eff 5-17-01 (emergency); Amended at 19 Ok Reg 1067, eff 5-13-02; Amended at 26 Ok Reg 994, eff 5-1-09 (emergency); Amended at 27 Ok Reg 621, eff 1-14-10 (emergency); Amended at 27 Ok Reg 1466, eff 6-11-10; Amended at 35 Ok Reg 1458, eff 9-14-18]