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OKDHS Home > Library > Policy > OAC 317 > Chapter 30. Medical Providers-Fee for Service > 3. General Provider Policies > Summary of Subchapter 3
Library: Policy 
OAC 317:  Chapter 30. Medical Providers-Fee for Service

Subchapter 3. General Provider Policies     
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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  Revised 7-20-10
317:30-3-3.Group billings  Revised 6-25-11
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 6-25-11
317:30-3-5.Assignment and Cost Sharing  Revised 6-25-11
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
317:30-3-21.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 7-20-10
317:30-3-25.Crossovers (coinsurance and deductible)  Revised 7-1-06
317:30-3-27.Telemedicine  Revised 6-25-11
317:30-3-28.Electronic Health Records Incentive Program  Revised 11-15-10
317:30-3-29.Revisions of provider fee schedules  Issued 6-25-11
317:30-3-30.Signature requirements  Issued 6-25-11
PART 3. GENERAL MEDICAL PROGRAM INFORMATION
317:30-3-39.Home and Community Based Services Waivers  Issued 6-25-11
317:30-3-40.Home and Community-Based Services Waivers for persons with intellectual disabilities (mental retardation) or certain persons with related conditions  Revised 6-25-11
317:30-3-41.Home and Community Based Services Waivers for persons with physical disabilities  Revised 6-25-11
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  Revised 6-25-11
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 6-25-11
317:30-3-60.General program exclusions - children  Revised 6-25-11
317:30-3-61.Self-Directed Services  Issued 12-3-09
317:30-3-62.Serious reportable events - never events  Revised 4-1-10
317:30-3-63.Hospital acquired conditions  Issued 4-1-10
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  Revised 6-25-11
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
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Last Updated:  7/7/2011
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
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