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The Oklahoma Health Care Authority (OHCA) seeks advice from Indian Health Services, tribal organizations and urban lndian clinics (I/T/U) in developing new or amended state plans, waiver amendments, or policy changes. The Native American page is designed to notify Indian Health Services, tribal organizations, and I/T/Us of any state plan, waiver, or proposed rule changes by providing an online tribal consultation forum. This forum will provide I/T/U's an opportunity to review and make comments.

To make suggestions on rules not currently being considered for change, use the following links:   

• A New Rule  
• Amend A Rule  
• Revoke A Rule   

To view or make comments on upcoming proposed policy, state plan, and/or waiver changes, please click the link of the change(s) below. All comments regarding proposed administrative rules will be considered during the rulemaking process and become a part of the official work folder. All rule changes are subject to the Oklahoma Administrative Procedures Act. 

Additional resources:

• Oklahoma Statutes
• Oklahoma Secretary of State Administrative Code 
• Archived OHCA Proposed Policy Changes 

Public Notices 

 2021

• 06/16/2021 Adult Expansion Alternative Benefit Plan (ABP) Service Delivery System and Dental Services Copayment  
• 06/09/2021 Nursing Facility Annual Rebasing of Rates
• 05/25/2021 Adult Expansion Alternative Benefit Plan (ABP) Updates and Dental Services (UPDATED)
• 05/04/2021 Medically Fragile Waiver Amendment 
• 05/04/2021 Reimbursement of Long-Acting Reversible Contraceptive (LARC) Devices in a Federally Qualified Health Center (FQHC) (UPDATED)   
• 03/23/2021 Adult Expansion Alternative Benefit Plan (ABP) Service Delivery Update   
• 01/04/2021 Enrollment of Certain Medicaid Members under the Demonstration and Implementation of SoonerSelect Managed Care Model  

2020   

• 12/29/2020 Residential Substance Use Disorder (SUD) Services Reimbursement for Tribal Providers
• 12/28/2020 Rate Revisions for the Specialty, Standard, and Extended Psychiatric Residential Treatment Facilities (PRTFs)
• 10/01/2020 Insure Oklahoma Phase Out Plan and Waiver Amendment
• 09/25/2020 SUPPORT Act Medication-Assisted Treatment (MAT) 
• 09/17/2020 Insure Oklahoma Abbreviated Phase Out Plan and Waiver Amendment 
• 09/16/2020 Residential Substance Use Disorder (SUD) Services 
• 09/01/2020 Therapy Assistants (UPDATED) 
• 08/28/2020 Certified Community Behavioral Health (CCBH) Services Reimbursement (UPDATED) 
• 07/31/2020 Medicaid Adult Expansion 
• 07/10/2020 Durable Medical Equipment, Supplies, and Appliances Reimbursement Methodology (UPDATED) 
• 06/15/2020 Nursing Facility Rate Increases and Pay-for-Performance (PFP) Quality Metric Update     
• 05/01/2020 1115(a) Institution for Mental Disease (IMD) Waiver for Serious Mental Illness (SMI) and Substance Use Disorder (SUD) 
• 03/31/2020 Adding the Newly Eligible Adult Group to Patient Centered Medical Homes (PCMH) and Increasing Care Coordination Rates for PCMH American Indian/Alaskan Native Providers (1115 Waiver Amendment)   
• 03/19/2020 Healthy Adult Opportunity (HAO) Demonstration Waiver (SoonerCare 2.0) (UPDATED) 
• 03/04/2020 High-Investment Drugs 
• 02/21/2020 SoonerCare Coverage for Newly Eligible Adults  

 2019 

•  11/08/2019 Diabetes Self-Management Training (DSMT) Services
•  09/24/2019 Disproportionate Share Hospitals
•  09/17/2019 Provider Rate Increase, Nursing Facility Rate Increase, and Nursing Facility Pay-for-Performance Program
•  08/29/2019 Inpatient Psychiatric Add-on Specialty and Intensive Treatment Family Care (ITFC)
•  07/24/2019 Out-of-State Services
•  06/28/2019 Payment to State-owned Psychiatric Residential Treatment Facilities (PRTFs)  
•  06/26/2019 Nursing Facility Rebasing; Applied Behavioral Analysis (ABA) Services and Reimbursement; Therapeutic Foster Care (TFC) Rate Increase; Developmental Disabilities Services (DDS) and ADvantage Waiver/State Plan Personal Care Services Rate Increases
•  05/15/2019 Rural Health Clinics Reimbursement, Enhanced Payment for State University Employed or Contracted Physicians, Maternal Depression Screenings, Residential Behavior Management Services (RBMS) Rates  
•  03/27/2019 Partial Hospitalization Program (PHP) Services, Certified Community Behavioral Health Clinic (CCBHC)Services, and Deductible and Coinsurance for Crossover Claims (UPDATED) 
  
•  03/07/2019 Partial Hospitalization Program (PHP) Services, Certified Community Behavioral Health Clinic (CCBHC) Services, and Deductible and Coinsurance for Crossover Claims
•  03/07/2019 Health Access Network (HAN) 1115(a) Demonstration Waiver Amendment 

 2018  

•  12/21/2018 Supplemental Hospital Offset Payment Program Cost-to-Charge Ratio Calculation Update for Critical Access Hospitals   
•  10/01/2018 1115(a) Demonstration Health Management Program Waiver Amendment   
•  09/07/2018 Provider Rate Increases, LTC Facilities Rate Increases, and Miller Trust 
•  09/07/2018 Supplemental Reimbursement for Ground Ambulance Transportation Providers 
•  09/06/2018 State Plan Skilled Nursing Rate Increase  
•  07/03/2018 1115(a) SoonerCare Choice Community Engagement Requirements Waiver Amendment  
•  06/28/2018 Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) Licensed Behavioral Health Practitioner and Licensure Candidate in an Outpatient Behavioral Health Clinic Rate Increase  
•  06/15/2018 Vaccine Rate Methodology, Nursing Facilities Rate Changes, Department of Mental Health& Substance Abuse Services (ODMHSAS) Rate Increases, & Oklahoma Department of Human Services (DHS) Rate Increases  
•  04/11/2018 Nursing Facilities Supplemental Payment Program     

 2017   

•  12/27/2017 Nursing Facilities Supplemental Payment Program and Outpatient Hospital Dental and ENT Rates     
•  09/07/2017 Private Duty Nursing Rate Change      
•  06/26/2017 Long-term Care Facilities Rebasing & Miller Trust   
•  02/07/2017 Nursing Facilities Supplemental Payment Program   
•  01/05/2017 Insure Oklahoma Waiting Period for Dependent Children with Creditable Coverage and Language Update; Incontinence Supplies Sole Source 1915(b)(4) Waiver Request; Over-the-Counter Products Update; & Public Assistance Reporting Information System (PARIS)   

2016  

•  12/30/2016 Supplemental Drug Rebate & Investigational Drugs      
•  12/23/2016 Statewide Transition Plan  
•  12/02/2016 Nursing Facilities Supplemental Payment Program      
•  11/02/2016 Pharmacy Covered Outpatient Drugs  
•  09/19/2016 Supplemental Hospital Offset Payment Program; DRG Relative Weights   
•  07/21/2016 Reversal of Three Percent Cut for Certain OHCA Provider/Services, Rate Revision for Behavioral Health Assessments performed in Outpatient Behavioral Health Agencies         
•  06/17/2016 Quality of Care Fee Increases for Long-Term Care Facilities, Miller Trust Monthly Income Eligibility Requirements, Unbundling of OB services methodology change and Eyeglass Materials Payment Methodology Change 

Policy Change Blog 

Click on a policy change blog post below to view more information and add your input.

• APA WF 21-08 Statewide HIE (OKSHINE)
• APA WF 21-09 Supplemental Hospital Offset Payment Program (SHOPP)
• OK SPA 21-0027 Nursing Facility Annual Rebasing of Rates
• OK SPA 21-0031 Adult Expansion Alternative Benefit Plan (ABP) Service Delivery System Update
• OK SPA 21-0033 Adult Dental Copays

Disclaimer: Oklahoma Health Care Authority (OHCA) policy comment section will be reviewed and considered under the current change. Personal information should not be shared/or submitted in the comment section. This comment section is reserved for proposed rule changes. Any approved comments on a proposed policy change will be available for public view on this site.