Library: Policy  OAC 317:  Chapter 30. Medical Providers-Fee for Service Subchapter 3. General Provider Policies      View Revoked << Back | Next >> PART 1. GENERAL SCOPE AND ADMINISTRATION 317:30-3-1. Creation and implementation of rules; applicability  Revised 1-23-01 317:30-3-2. Provider agreements  Issued 6-29-94 317:30-3-2.1. Program Integrity Audits/Reviews  Issued 10-6-04 317:30-3-3. Group billings  Issued 7-27-95 317:30-3-3.1. Medicaid Income Deferral Program  Revised 7-16-02 317:30-3-4. Electronic fund transfer or direct deposit  Issued 7-27-95 317:30-3-4.1. Uniform Electronic Transaction Act  Revised 7-1-06 317:30-3-5. Assignment and Cost Sharing  Revised 1-14-10 317:30-3-5.1. Usual and Customary fees  Issued 6-25-07 317:30-3-6. Utilization review for physician/hospital services  Revised 7-25-08 317:30-3-8. Pre-billing  Issued 7-27-95 317:30-3-10. Sales tax  Issued 7-27-95 317:30-3-11. Timely filing limitation  Revised 6-27-02 317:30-3-11.1. Resolution of claim payment  Issued 8-31-00 317:30-3-12. Credits and Adjustments  Revised 7-25-08 317:30-3-13. Advance directives  Issued 7-27-95 317:30-3-14. Freedom of choice  Revised 5-26-03 317:30-3-15. Record retention  Revised 7-1-06 317:30-3-16. Release of medical records  Issued 7-27-95 317:30-3-17. Discrimination laws  Issued 7-27-95 317:30-3-18. Criminal penalties  Issued 7-27-95 317:30-3-19. Administrative sanctions  Revised 3-1-06 317:30-3-20. Appeals procedures (excluding nursing homes and hospitals)  Revised 3-1-06 317:30-3-20.1. Pharmacy grievance procedures and processes  Issued 7-11-05 317:30-3-21. Appeals procedures for nursing facilities  Revised 3-1-06 317:30-3-23. Reconsideration request  Revised 7-25-08 317:30-3-24. Third party liability  Revised 11-3-09 317:30-3-25. Crossovers (coinsurance and deductible)  Revised 7-1-06 317:30-3-27. Telemedicine  Revised 7-21-09 PART 3. GENERAL MEDICAL PROGRAM INFORMATION 317:30-3-40. Home and Community-Based Services Waivers for persons with mental retardation or certain persons with related conditions  Revised 5-11-07 317:30-3-41. Advantage program waiver services  Issued 7-27-95 317:30-3-42. Services in a Nursing Facility (NF)  Revised 6-25-01 317:30-3-43. Services in an Intermediate Care Facility for the Mentally Retarded  Issued 7-27-95 317:30-3-44. Personal care  Issued 7-27-95 317:30-3-45. Services for persons age 65 or older in mental health hospitals  Issued 7-27-95 317:30-3-46. Services for persons infected with tuberculosis  Revised 1-1-04 317:30-3-57. General SoonerCare coverage - categorically needy  Revised 1-14-10 317:30-3-59. General program exclusions - adults  Revised 11-3-09 317:30-3-60. General program exclusions - children  Revised 11-3-09 317:30-3-61. Self-Directed Services  Issued 12-3-09 317:30-3-62. Serious reportable events - never events  Issued 1-14-10 PART 4. EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT (EPSDT) PROGRAM/CHILD HEALTH SERVICES 317:30-3-65. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program/Child Health Services  Issued 7-1-06 317:30-3-65.1. Minimum required screenings  Issued 7-1-06 317:30-3-65.2. Periodicity schedule  Issued 7-1-06 317:30-3-65.3. Initial screening examination  Issued 7-1-06 317:30-3-65.4. Screening components  Revised 6-25-09 317:30-3-65.5. Diagnosis and treatment  Issued 7-1-06 317:30-3-65.6. Documentation of Services  Issued 7-1-06 317:30-3-65.7. Vision services  Issued 7-1-06 317:30-3-65.8. Dental services  Issued 7-1-06 317:30-3-65.9. Hearing services  Issued 7-1-06 317:30-3-65.10. Periodic and interperiodic screening examinations  Issued 7-1-06 317:30-3-65.11. Partial screening examination  Issued 7-1-06 PART 5. ELIGIBILITY 317:30-3-70. Categorical relationship  Revised 7-1-03 317:30-3-71. Financial need  Revised 7-1-03 317:30-3-75. Person codes  Revised 6-25-01 317:30-3-77. Notification of needed medical services  Revised 6-25-04 317:30-3-78. Request for prior authorization for dental services  Revised 7-1-06 317:30-3-79. Hearing appliance prescription and supplier request for prior authorization  Revised 6-11-99 317:30-3-81. Notification of eligibility status for assistance (adults)  Issued 7-27-95 317:30-3-82. Prior authorization for services to individuals under 21 years of age  Revised 6-26-03 317:30-3-83. Prior authorization for services to adults  Revised 8-5-98 317:30-3-85. Citizenship and alienage  Revised 7-1-07 317:30-3-86. Residency  Issued 7-27-95 317:30-3-87. Presumptive eligibility  Issued 7-27-95 317:30-3-88. Medical identification card  Revised 12-28-98 << Back | Next >>