Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 16 - MATERNAL AND INFANT HEALTH LICENSED CLINICAL SOCIAL WORKERS
Section 317:30-5-209 - Documentation

(1) date;

(2) start and stop time for each timed treatment session;

(3) signature of the service provider;

(4) credentials of service provider;

(5) documentation of the referral source;

(6) problems(s), goals and/or objectives identified on the treatment plan;

(7) methods used to address the problem(s), goals and objectives;

(8) progress made toward goals and objectives;

(9) patient response to the session or intervention; and

(10) any new problem(s), goals and/or objectives identified during the session.