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 http://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.
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(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. Any medical payments made from state funds are paid at rates no greater than established Oklahoma Medicaid rates.