Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 62 - PRIVATE DUTY NURSING
Section 317:30-5-560 - Treatment plan

Universal Citation: OK Admin Code 317:30-5-560

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

(a) An eligible organization must create a treatment plan for the member as part of the authorization process for private duty nursing (PDN) services. The initial treatment plan must be signed by the member's attending physician [medical doctor (MD), or doctor of osteopathy, (DO)], a physician assistant (PA), or advanced practice registered nurse (APRN).

(b) The treatment plan must include all of the following:

(1) Diagnosis;

(2) Prognosis;

(3) Anticipated length of treatment;

(4) Number of PDN requested hours per day;

(5) Assessment needs and frequency (e.g., vital signs, glucose checks, neuro checks, respiratory);

(6) Medication method of administration and frequency;

(7) Age-appropriate feeding requirements (diet, method and frequency);

(8) Respiratory needs;

(9) Mobility requirements including need for turning and positioning, and the potential for skin breakdown;

(10) Developmental deficits;

(11) Casting, orthotics, therapies;

(12) Age-appropriate elimination needs;

(13) Seizure activity and precautions;

(14) Age-appropriate sleep patterns;

(15) Disorientation and/or combative issues;

(16) Age-appropriate wound care and/or personal care;

(17) Communication issues;

(18) Social support needs;

(19) Name, skill level, and availability of all caregivers; and

(20) Other pertinent nursing needs such as dialysis, isolation.

Added at 23 Ok Reg 33, eff 8-1-05 (emergency); Added at 23 Ok Reg 1364, eff 5-25-06; Amended at 24 Ok Reg 333, eff 12-1-06 (emergency); Amended at 24 Ok Reg 930, eff 5-11-07; Amended at 28 Ok Reg 14, eff 8-13-10 (emergency); Amended at 28 Ok Reg 1429, eff 6-25-11

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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