Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 39 - SKILLED NURSING SERVICES
Section 317:30-5-390 - Home and Community-Based Services waivers for adults with an intellectual disability or certain adults with related conditions

Universal Citation: OK Admin Code 317:30-5-390

Current through Vol. 42, No. 1, September 16, 2024

(a) Introduction to waiver services. Each Home and Community-Based Services (HCBS) waiver that includes services for adults with an intellectual disability or certain adults with related conditions allows payment for home health care services as defined in the waiver approved by the Centers for Medicare and Medicaid Services.

(1) Home health care services are skilled nursing services provided to a member by a registered nurse(RN) or a licensed practical nurse(LPN) that include:

(A) Direct nursing care;

(B) Assessment and documentation of health changes;

(D) Maintenance of nursing plans of care;

(E) Medication administration;

(F) Training of the member's health care needs;

(G) Preventive and health care procedures; and

(H) Preparing , analyzing, and presenting nursing assessment information regarding the member.

(2) The first thirty-six (36) visits provided by the home health care agency are covered by the Oklahoma Medicaid State Plan.

(b) Eligible providers. Skilled nursing services providers must enter into contractual agreements with the Oklahoma Health Care Authority(OHCA) to provide HCBS for adults with an intellectual disability or certain adults with related conditions.

(1) Individual providers must be currently licensed and in good standing in the state in which services are provided as a:

(A) RN ; or

(B) LPN .

(2) Agency providers must:

(A) Have a current Medicaid HCBS home health care agency contract; or

(B) Be certified by the Oklahoma State Department of Health (OSDH) as a home health care agency.

Added at 12 Ok Reg 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff 7-27-95; Amended at 25 Ok Reg 2675, eff 7-25-08; Amended at 29 Ok Reg 1076, eff 6-25-12

Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

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