SECTION 317:30-5-953. Billing

   A billing unit for personal care services provided by a home care agency is 15 minutes of service delivery and equals a visit. Billing procedures for personal care services are contained in the Oklahoma Medicaid Management Information Systems (OKMMIS) Billing and Procedure Manual. Service time for personal care and nursing is documented solely through the Electronic Visit Verification (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 time in accordance with their agency backup plan. The agency's backup procedures are permitted only when the EVV system is unavailable.

[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 19 Ok Reg 2134, eff 6-27-02; Amended at 20 Ok Reg 1942, eff 6-26-03; Amended at 24 Ok Reg 83, eff 8-2-06 (emergency); Amended at 24 Ok Reg 932, eff 5-11-07; Amended at 26 Ok Reg 543, eff 2-1-09 (emergency); Amended at 26 Ok Reg 2127, eff 6-25-09; Amended at 35 Ok Reg 1458, eff 9-14-18]