Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 340. Department of Human Services |
Chapter 35. Medical Assistance for Adults and Children [revoked] |
Subchapter 1. General Provisions [revoked] |
SECTION 340:35-1-1. Purpose [revoked] |
SECTION 340:35-1-2. Definitions [revoked] |
SECTION 340:35-1-3. Legal bases [revoked] |
Subchapter 3. Coverage and Exclusions [revoked] |
SECTION 340:35-3-1. Payment for medical services [revoked] |
SECTION 340:35-3-2. Amount, duration and scope of coverage for medical services [revoked] |
SECTION 340:35-3-3. Prior authorization requirements [revoked] |
Subchapter 5. Eligibility and Countable Income [revoked] |
Part 1. DETERMINATION OF QUALIFYING CATEGORICAL RELATIONSHIPS [revoked] |
Part 3. NON-MEDICAL ELIGIBILITY REQUIREMENTS [revoked] |
Part 5. COUNTABLE INCOME AND RESOURCES [revoked] |
Subchapter 7. Short-Term Medical Services [revoked] |
Part 1. GENERAL [revoked] |
Part 3. APPLICATION PROCEDURES [revoked] |
Part 5. DETERMINATION OF ELIGIBILITY FOR SHORT-TERM MEDICAL SERVICES [revoked] |
Part 7. CERTIFICATION, REDETERMINATION AND NOTIFICATION [revoked] |
Subchapter 9. Long-Term Medical Care [revoked] |
Part 1. SERVICES [revoked] |
Part 2. MEDICAID RECOVERY PROGRAM [Expired] |
Part 3. APPLICATION PROCEDURES [revoked] |
Part 5. DETERMINATION OF MEDICAL ELIGIBILITY FOR LONG TERM-CARE [revoked] |
Part 7. DETERMINATION OF FINANCIAL ELIGIBILITY [revoked] |
Part 9. CERTIFICATION, REDETERMINATION AND NOTIFICATION [revoked] |
Part 11. PAYMENT, BILLING, AND OTHER ADMINISTRATIVE PROCEDURES [revoked] |
Subchapter 11. Projects [revoked] |
SECTION 340:35-11-1. Grants and local projects [revoked] |
SECTION 340:35-11-2. Indigent Health Care Clinic (IHCC) [revoked] |
SECTION 340:35-11-3. HIV/AIDS drug program [revoked] |
SECTION 340:35-11-4. Home and Community Based HIV Health Services Grant [revoked] |
SECTION 340:35-11-5. Ryan White Title II, Home and Community Based Health Services [revoked] |
Subchapter 13. Client Rights and Responsibilities [revoked] |
SECTION 340:35-13-1. Civil rights [revoked] |
SECTION 340:35-13-2. Courteous and prompt action [revoked] |
SECTION 340:35-13-3. Choice of providers [revoked] |
SECTION 340:35-13-4. Release of medical information [revoked] |
SECTION 340:35-13-5. Overpayments [revoked] |
SECTION 340:35-13-6. Fraud [revoked] |
Subchapter 15. Personal Care Services [Expired] |
SECTION 340:35-15-1. Overview of long-term medical care services; relationship to short-term care and QMB eligibility and spenddown calculation [Expired] |
SECTION 340:35-15-2. Personal Care in own home [Expired] |
SECTION 340:35-15-3. Application for Personal Care; forms [Expired] |
SECTION 340:35-15-4. Determination of medical eligibility for Personal Care [Expired] |
SECTION 340:35-15-5. General financial eligibility requirements for Personal Care [Expired] |
SECTION 340:35-15-6. Determining financial eligibility of categorically needy individuals [Expired] |
SECTION 340:35-15-7. Certification for Personal Care [Expired] |
SECTION 340:35-15-8. Personal Care service management [Expired] |
SECTION 340:35-15-9. Redetermination of eligibility for Personal Care [Expired] |
SECTION 340:35-15-10. Redetermination of Personal Care service plan [Expired] |
SECTION 340:35-15-11. Case transfer between categories [Expired] |
SECTION 340:35-15-12. Case changes [Expired] |
SECTION 340:35-15-13. Personal care providers; billing, training, and program administration [Expired] |
SECTION 340:35-15-14. Billing procedures for Personal Care [Expired] |
SECTION 340:35-15-15. Referral for social services [Expired] |
Subchapter 17. Advantage Waiver Services [Expired] |
SECTION 340:35-17-1. Overview of long-term medical care services; relationship to short-term care and QMB eligibility and spenddown calculation [Expired] |
SECTION 340:35-17-2. Long Term Care gatekeeping for phase-in geographic areas [Expired] |
SECTION 340:35-17-3. ADvantage program services [Expired] |
SECTION 340:35-17-4. Application for ADvantage services; forms [Expired] |
SECTION 340:35-17-5. ADvantage and NF program medical eligibility determination [Expired] |
SECTION 340:35-17-6. Pre-admission screening [Expired] |
SECTION 340:35-17-7. Level I screen [Expired] |
SECTION 340:35-17-8. Level II screen for PAS [Expired] |
SECTION 340:35-17-9. General financial eligibility requirements for the ADvantage program [Expired] |
SECTION 340:35-17-10. Determining financial eligibility/categorical relationship for the ADvantage program [Expired] |
SECTION 340:35-17-11. Determining financial eligibility for ADvantage program services [Expired] |
SECTION 340:35-17-12. Financial certification for ADvantage program services [Expired] |
SECTION 340:35-17-13. Case Management services [Expired] |
SECTION 340:35-17-14. Redetermination of eligibility for ADvantage services [Expired] |
SECTION 340:35-17-15. Client annual level of care re-evaluation and annual re-certification of service plan [Expired] |
SECTION 340:35-17-16. Emergency status criteria [Expired] |
SECTION 340:35-17-17. Suspension of ADvantage services during hospitalization or NF placement [Expired] |
SECTION 340:35-17-18. Closure or termination of ADvantage services [Expired] |
SECTION 340:35-17-19. Case transfer between categories [Expired] |
SECTION 340:35-17-20. Case changes [Expired] |
SECTION 340:35-17-21. Payment to the Administrative Agent [Expired] |
SECTION 340:35-17-22. Billing procedures for ADvantage services [Expired] |
SECTION 340:35-17-23. Disclosure of information on health care providers and contractors [Expired] |
SECTION 340:35-17-24. Referral for social services [Expired] |
Subchapter 19. Nursing Facility Services [Expired] |
SECTION 340:35-19-1. Overview of long-term medical care services; relationship to short-term care and QMB eligibility and spenddown [Expired] |
SECTION 340:35-19-2. Services in a Nursing Facility (NF) [Expired] |
SECTION 340:35-19-3. Medicaid recovery [Expired] |
SECTION 340:35-19-4. Application for nursing facility care; forms [Expired] |
SECTION 340:35-19-5. Application procedures for NF [Expired] |
SECTION 340:35-19-6. Determination of medical eligibility for care in NF [Expired] |
SECTION 340:35-19-7. Pre-admission screening [Expired] |
SECTION 340:35-19-8. Level I screen [Expired] |
SECTION 340:35-19-9. Level II screen for PAS [Expired] |
SECTION 340:35-19-10. Annual Resident Review (ARR) [Expired] |
SECTION 340:35-19-11. Level I screen for ARR [Expired] |
SECTION 340:35-19-12. Level II screen for ARR [Expired] |
SECTION 340:35-19-13. New admissions, readmissions, and interfacility transfers [Expired] |
SECTION 340:35-19-14. PASARR tracking system [Expired] |
SECTION 340:35-19-15. PASARR appeals process [Expired] |
SECTION 340:35-19-16. Determination of continued medical eligibility for care in a nursing facility [Expired] |
SECTION 340:35-19-17. Change in level of long-term medical care [Expired] |
SECTION 340:35-19-18. General financial eligibility requirements for NF [Expired] |
SECTION 340:35-19-19. Determining financial eligibility of categorically needy individuals [Expired] |
SECTION 340:35-19-20. Determining financial eligibility for care in NF [Expired] |
SECTION 340:35-19-21. Certification for NF [Expired] |
SECTION 340:35-19-22. Redetermination of eligibility for NF care [Expired] |
SECTION 340:35-19-23. Case transfer between categories [Expired] |
SECTION 340:35-19-24. Case changes [Expired] |
SECTION 340:35-19-25. Payment to NF [Expired] |
SECTION 340:35-19-26. Billing procedures for NF [Expired] |
SECTION 340:35-19-27. Management of client's funds while receiving care in NF [Expired] |
SECTION 340:35-19-28. Disclosure of information on health care providers and contractors [Expired] |
SECTION 340:35-19-29. Referral for social services [Expired] |
SECTION 340:35-19-30. Special procedures for release of adults in mental health hospitals to Nursing Facilities [Expired] |
Appendix A. Notice to Client Regarding Long-Term Medical Care [revoked] |
Appendix B. Notice to Nursing Care Facility [revoked] |
Appendix C. Notification Regarding Patient in Skilled Nursing Facility or Intermediate Care Facility [revoked] |
Appendix D. Management of Recipient's Funds [revoked] |
Appendix E. Accounting - Recipient's Personal Funds and Property [revoked] |
Appendix F. Statement of Compensable Therapeutic Leave Only [revoked] |
Appendix G. Dental Claim [revoked] |
Appendix H. Physician's Report and Claim for EPSDT and Related Procedures [revoked] |
Appendix I. Pharmacy Claim [revoked] |
Appendix J. Consent Form [revoked] |
Appendix K. Hospital Tape Transmittal [revoked] |
Appendix L. Transportation Claim [revoked] |
Appendix M. Optometrist Claim [revoked] |
Appendix N. Physician's Prescription and Authorization [revoked] |
Appendix O. Hearing Appliance Prescription and Authorization [revoked] |
Appendix P. Request for Prior Authorization Dental Services [revoked] |
Appendix Q. Medical Assistance Redetermination of Eligibility Statement [revoked] |
Appendix R. Redetermination of Eligibility for Recipient's Receiving SSI [revoked] |
Appendix S. Notification of Eligiblity Status for Medical Assistance [revoked] |
Appendix T. Medical Assistance Application [revoked] |
Appendix U. Medical Assistance Standards - Medically Needy [revoked] |
Appendix V. Fee Schedule for NF and ICF/MR Services [revoked] |
Appendix W. Acknowledgement of Temporary Absence/Home Property Policy [revoked] |
Appendix X. Long Term Care Assessment [revoked] |
Appendix Y. Long-Term Care Preadmission Screen [revoked] |
Appendix AA. Capital Resources Information [revoked] |
Appendix BB. Acknowledgement of Intent to Return Home\Medicaid Recovery Program [revoked] |
Note
[Authority: Federal Social Security Act, Title XIX; OKLA. CONST. art XXV; Immigration and Reform Act of 1986; 10 O.S., §§ 175.1, 1415, and 1417; 56 O.S., §§ 28.1 et seq., 161 et seq., 162, 164, 175, and 177; 63 O.S., § 1-818.5]
[Source: Codified 12-31-91]