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OKDHS Home > Library > Policy > OAC 317 > Chapter 30. Medical Providers-Fee for Service > 3. General Provider Policies > 83. Prior authorization for services to adults
317:30-3-83. Prior authorization for services to adults
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Revised 8-5-98

 

(a) Under the Medicaid Program, the following services require prior authorization:

  • (1) Respirators
  • (2) Ventilators
  • (3) Hyperalimentation
  • (4) Emergency medical services for certain aliens.
  • (5) Adaptive equipment for persons residing in private ICF/MR's.

(b) All services requiring Prior Authorization will be authorized on the basis of the procedures involved and the OHCA authorization file will reflect the procedure codes given prior authorization.  A Prior Authorization Number will be assigned and a notice generated to the medical provider.  The notice of authorization will contain the Prior Authorization (PA) Number which must be on the claim for the services.
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Last Updated:  8/18/2008
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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