Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 34 - SECURE BEHAVIORAL HEALTH TRANSPORTATION
Section 317:30-5-349 - Program eligibility and covered services
Current through Vol. 42, No. 1, September 16, 2024
(a) SoonerCare members, both children and adults, are eligible for services when medically necessary.
(b) A member must be reasonably believed to be experiencing a behavioral health crisis as evidenced by extreme emotional distress that includes, but is not limited to, an acute episode of mental illness and/or suicidal thoughts and/or behavior that may occur with substance use and other disorders.
(c) Secure behavioral health transportation may be provided when medically necessary for the following:
(d) Members must be transported to the nearest appropriate facility.
(e) Out-of-state transports are allowable when medically necessary and may require prior approval or authorization by ODMHSAS.