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Oklahoma Department of
Human Services
Stronger Families Grow
Brighter Futures
Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
 
 
 
340:100-17-17. Billing for state-funded employment (sheltered workshop) services
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Revised 5-15-08

 

(a) To receive payment for state-funded employment (sheltered workshop) services, the provider agency submits to the appropriate Developmental Disabilities Services Division (DDSD) area office:

  • (1) Form 06WP044E, Monthly Attendance Record; and
  • (2) a cover sheet, such as Form 10AD012E, Claim Form, or the provider agency's invoice that includes each service recipient's:
    • (A) legal name;
    • (B) case number;
    • (C) Social Security number;
    • (D) date of birth; and
    • (E) type, amount, rate, and date of service delivery.

(b) The DDSD area office attempts to reconcile claims that are incomplete or lacking supporting documentation.  If unsuccessful, the DDSD area office mails the claim back to the provider agency indicating the documentation or corrections needed.

(c) Claims for services rendered to service recipients must be submitted within 90 calendar days of the provision of services.  Supporting encumbrances may be canceled upon a lapse of six months from the actual provision of services.



Last Updated:  10/25/2008
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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