(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.