Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 33 - TRANSPORTATION BY AMBULANCE
Section 317:30-5-336.2 - Nearest appropriate facility
Current through Vol. 42, No. 1, September 16, 2024
(a) OHCA covers transportation to the nearest facility that can appropriately treat the member.
(b) An institution is not considered an appropriate facility if the member's condition requires a higher level of care or specialized services available at the more distant hospital. However, a legal impediment barring a member's admission would mean that the institution did not have "appropriate facilities". For example, the nearest transplant center may be in another state and that state's law precludes admission of nonresidents.
(c) An institution is not considered an appropriate facility if no bed is available. However, the medical records must be properly documented.
Added at 24 Ok Reg 601, eff 12-21-06 (emergency); Added at 24 Ok Reg 920, eff 5-11-07