Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 64 - CLINIC SERVICES
Section 317:30-5-576 - Eligible providers

Universal Citation: OK Admin Code 317:30-5-576

Current through Vol. 41, No. 20, July 1, 2024

(a) General requirements. To be an eligible clinic provider, a clinic must be under the direction of a physician who is on the premises and who is a SoonerCare enrolled provider. In addition, the supervising physician must meet any other applicable licensure or certification required by State law or meet Medicare certification for participation. All clinic providers must have a current contract with the Oklahoma Health Care Authority (OHCA). The OHCA will review all clinic contracts to ensure compliance with all OHCA requirements, as well as all State and Federal laws. The OHCA has discretion and the final authority to approve or deny any provider contract.

(b) National Provider Identification (NPI). The clinic must have an organizational NPI number and each individual licensed physician and licensed non-physician practitioner must have an individual NPI and meet the provider qualification requirements applicable to the same service when it is furnished in other settings.

(c) Written patient care policies. A clinic under this Part must establish, in writing:

(1) a description of health services provided by the clinic;

(2) policies concerning the medical management of health problems including health conditions which require referral to physicians and provision of emergency health services; and

(3) policies concerning the maintenance and review of health records by the physician or dentist.

Added at 28 Ok Reg 1394, 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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.