OKDHS - OAC 340:75-16-36. Out-of-state inpatient mental health treatment

340:75-16-36. Out-of-state inpatient mental health treatment

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Revised 6-1-07

(a) A child in Oklahoma Department of Human Services (OKDHS) custody admitted to inpatient mental health treatment facilities out‑of‑state must meet the same medical necessity criteria for inpatient mental health treatment required in Oklahoma.

(1) A child in OKDHS custody is only admitted to a facility that is an Oklahoma Health Care Authority (OHCA) approved Title XIX provider under formal contract with OHCA and Children and Family Services Division (CFSD).
(2) Admission of a child in OKDHS custody to an out-of-state inpatient mental health treatment facility requires prior approval through Interstate Compact on the Placement of Children (ICPC) and facilitation via APS Healthcare. • 1

(b) A child in OKDHS custody in out-of-state placement who requires inpatient mental health treatment may only be admitted to an out‑of‑state facility that is OHCA approved and has a formal contract with CFSD. The CW county of jurisdiction worker visits a child in an out-of-state mental health treatment facility every six months.

(c) A child who is placed in an inpatient mental health treatment facility in Oklahoma by another state does not have to meet the Oklahoma Medicaid requirements.

INSTRUCTIONS TO STAFF 340:75-16-36

Revised 6-1-07

1. Facility contract approval and admission procedure.

(1) Contract approval. When the out-of-state inpatient mental health treatment facility is not approved by the Oklahoma Health Care Authority (OHCA) or does not have a formal Children and Family Services Division (CFSD) contract, Child Welfare (CW) or facility staff contacts the CFSD program staff of Residential, Placement, and Behavioral Health Services. Program staff:

(A) refers the facility staff to OHCA for contract approval;

(B) initiates a formal CFSD contract with the facility, once the facility is approved by OHCA to receive Title XIX Oklahoma Medicaid reimbursement;

(C) adds the facility to the KIDS Resource directory;

(D) notifies Interstate Compact Placement on Children (ICPC) CFSD staff of the resource; and

(E) notifies CW staff to admit the child to the inpatient mental health treatment facility and to document the admission on the KIDS Placement screens.

(2) APS Healthcare admission procedure. The CW worker contacts the inpatient reviewer at APS Healthcare in order for APS Healthcare to facilitate the referral to an out-of-state inpatient facility.

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