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 |
SECTION 317:30-5-972. Reimbursement
Latest version.
- (a) Targeted case management (TCM) services will be reimbursed pursuant to the methodology described in the Oklahoma Medicaid State Plan.(b) The reimbursement methodology is based upon qualifying costs for the eligible population from the Cost Allocation Plan. The TCM unit rate is a prospective flat rate based on a qualifying TCM contact with the member in the target population or with some other person on behalf of the member during the claim period.