Chapter 30. Medical Providers-Fee for Service  


Subchapter 1. General Provisions
SECTION 317:30-1-1. Purpose; use of manuals
SECTION 317:30-1-2. Authority responsibility; fiscal agent
SECTION 317:30-1-3. Description of rules
Subchapter 3. General Provider Policies
Part 1. GENERAL SCOPE AND ADMINISTRATION
Part 3. GENERAL MEDICAL PROGRAM INFORMATION
Part 4. EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT (EPSDT) PROGRAM/CHILD-HEALTH SERVICES
Part 5. ELIGIBILITY [revoked]
Subchapter 5. Individual Providers and Specialties
Part 1. PHYSICIANS
Part 2. PHYSICIAN ASSISTANT
Part 3. HOSPITALS
Part 4. LONG TERM CARE HOSPITALS
Part 5. PHARMACIES
Part 6. INPATIENT PSYCHIATRIC SERVICES
Part 7. CERTIFIED LABORATORIES
Part 8. REHABILITATION HOSPITALS
Part 9. LONG-TERM CARE FACILITIES
Part 10. BARIATRIC SURGERY
Part 11. MATERNITY CLINIC SERVICES [revoked]
Part 12. THE OKLAHOMA PRESCRIPTION DRUG DISCOUNT PROGRAM
Part 13. HIGH RISK PREGNANT WOMEN CASE MANAGEMENT SERVICES [revoked]
Part 14. TARGETED CASE MANAGEMENT SERVICES FOR FIRST TIME MOTHERS AND THEIR INFANTS/CHILDREN [revoked]
Part 15. CHILD HEALTH CENTERS [revoked]
Part 16. MATERNAL AND INFANT HEALTH LICENSED CLINICAL SOCIAL WORKERS
Part 17. MEDICAL SUPPLIERS
Part 18. GENETIC COUNSELORS
Part 19. CERTIFIED NURSE MIDWIVES
Part 20. LACTATION CONSULTANTS
Part 21. OUTPATIENT BEHAVIORAL HEALTH AGENCY SERVICES
Part 22. HEALTH HOMES
Part 23. PODIATRISTS
Part 25. PSYCHOLOGISTS
Part 26. LICENSED BEHAVIORAL HEALTH PROVIDERS
Part 27. INDEPENDENT LICENSED PHYSICAL THERAPISTS
Part 28. OCCUPATIONAL THERAPY SERVICES
Part 29. RENAL DIALYSIS FACILITIES
Part 31. ROOM AND BOARD PROVIDERS
Part 32. SOONERRIDE NON-EMERGENCY TRANSPORTATION
Part 33. TRANSPORTATION BY AMBULANCE
Part 35. RURAL HEALTH CLINICS
Part 37. ADVANCED PRACTICE NURSE
Part 39. SKILLED NURSING SERVICES
Part 41. FAMILY SUPPORT SERVICES
Part 43. AGENCY COMPANION, SPECIALIZED FOSTER CARE, DAILY LIVING SUPPORTS, GROUP HOMES, AND COMMUNITY TRANSITION SERVICES
Part 45. OPTOMETRISTS
Part 47. OPTICAL SUPPLIERS
Part 49. FAMILY PLANNING CENTERS [revoked]
Part 51. HABILITATION SERVICES
Part 53. SPECIALIZED FOSTER CARE
Part 55. RESPITE CARE
Part 57. HOSPICE CARE
Part 58. NON-HOSPITAL BASED HOSPICE
Part 59. HOMEMAKER SERVICES
Part 61. HOME HEALTH AGENCIES
Part 62. PRIVATE DUTY NURSING
Part 63. AMBULATORY SURGICAL CENTERS (ASC)
Part 64. CLINIC SERVICES
Part 65. CASE MANAGEMENT SERVICES FOR OVER 21
Part 67. BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES [revoked]
Part 69. CERTIFIED REGISTERED NURSE ANESTHETISTS
Part 70. ANESTHESIOLOGIST ASSISTANTS
Part 71. EARLY INTERVENTION CASE MANAGEMENT SERVICES
Part 73. EARLY INTERVENTION SERVICES
Part 75. FEDERALLY QUALIFIED HEALTH CENTERS
Part 77. SPEECH AND HEARING SERVICES
Part 79. DENTISTS
Part 81. CHIROPRACTORS
Part 83. RESIDENTIAL BEHAVIOR MANAGEMENT SERVICES
Part 85. ADVANTAGE PROGRAM WAIVER SERVICES
Part 87. BIRTHING CENTERS
Part 89. RADIOLOGICAL MAMMOGRAPHER
Part 90. DIAGNOSTIC TESTING ENTITIES
Part 91. TUBERCULOSIS CLINIC SERVICES [revoked]
Part 93. CASE MAAGEMENT SERVICES FOR PERSONS INFECTED WITH TUBERCULOSIS [revoked]
Part 95. AGENCY PERSONAL CARE SERVICES
Part 97. CASE MANAGEMENT SERVICES FOR UNDER AGE 18 AT RISK OF OR IN THE TEMPORARY CUSTODY OR SUPERVISION OF OFFICE OF JUVENILE AFFAIRS
Part 99. CASE MANAGEMENT SERVICES FOR UNDER AGE 18 IN EMERGENCY, TEMPORARY OR PERMANENT CUSTODY OR SUPERVISION OF THE DEPARTMENT OF HUMAN SERVICES
Part 101. TARGETED CASE MANAGEMENT SERVICES FOR PERSONS WITH INTELLECTUAL DISABILITY AND/OR RELATED CONDITIONS
Part 103. QUALIFIED SCHOOLS AS PROVIDERS OF HEALTH-RELATED SERVICES
Part 104. SCHOOL-BASED CASE MANAGEMENT SERVICES
Part 105. RESIDENTIAL BEHAVIORAL MANAGEMENT SERVICES IN GROUP SETTINGS AND NON-SECURE DIAGNOSTIC AND EVALUATION CENTERS
Part 108. NUTRITION SERVICES
Part 110. INDIAN HEALTH SERVICES, TRIBAL PROGRAMS, AND URBAN INDIAN CLINICS (I/T/US)
Part 112. PUBLIC HEALTH CLINIC SERVICES
Part 113. LIVING CHOICE PROGRAM
Subchapter 7. Billing and Inquiries [revoked]
SECTION 317:30-7-1. Preparation of claims forms [revoked]
SECTION 317:30-7-2. Remittance statement [revoked]
SECTION 317:30-7-3. Electronic billing [revoked]
SECTION 317:30-7-4. Medicare crossover claims [revoked]
SECTION 317:30-7-5. Claim status inquiries [revoked]
SECTION 317:30-7-6. Policy questions [revoked]
SECTION 317:30-7-7. Medicaid provider file changes [revoked]
SECTION 317:30-7-8. Claim adjustments [revoked]
SECTION 317:30-7-9. Inquiry instructions/addresses for filing claims [revoked]

Note


[Authority: Long-Term Social Security Act; Federal Social Security Act, Title XIX; Titles XVIII and XIX; Child Health Act; Title V; Civil Rights Act of 1964; Rehabilitation Act of 1973 (Part 90); The Oklahoma Health Care Authority Act; Age Discrimination Act of 1975; Education Amendments of 1972, Title IX; P.L. 88-352; P.L. 93-112; P.L. 99-456; P.L. 111-456; 31 U.S.C.A. 6101; Presidential Executive Orders 11246, 11375, and 12549; 42 CFR, §§ 405.2426, 431.54, 416.30-49, 440.100, 440.130, 440.140, 440.170, and 442 (Subparts E and G); 45 CFR, Part 93; 10 O.S., §§ 175.1 and 1415.1; 56 O.S., §§ 162.3, 164(c), and 175; 59 O.S., § 567.3(4); 63 O.S., §§ 1-1901 et seq., 3241.6, and 5003 through 5016; 68 O.S., § 1305; Laws 2002, c.470; 1-1944 through 1-1949 of the Oklahoma State Statutes.]
[Source: Codified 7-27-95]