Prior authorization is required for medical services, per OAC 317:30-3-82. Procedures and guidelines for prior authorization are outlined in OAC 317:30-3-82, available to all healthcare providers at www.ohca.state.ok.us.
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(1) Contact OHCA. For services, supplies, or equipment requiring prior authorization, the healthcare provider contacts the Oklahoma Health Care Authority (OHCA) contracted agency for specific instructions and assistance.
- (2) Contact ASU. If Child Welfare (CW) staff or placement providers are referred to a collection agency for nonpayment of a medical bill for a child in Oklahoma Department of Human Services custody, CW staff contacts Children and Family Services Division Administrative Services Unit (ASU) for guidance regarding payment procedures.