Home > Providers > Policies and Rules

OHCA Policies and Rules

Search Entire Policy
OHCA Policies and Rules Main Page


317:30-5-96.6.Payment for Medicare/Medicaid dual eligible individuals

[Revised 09-01-19]
(a) For dual eligible members. Payment is made for Medicare-related deductibles and/or coinsurance.

(b) For individuals who are not eligible for Part A services. For individuals who have exhausted Medicare Part A benefits, claims must be accompanied by a statement from the Medicare Part A Regional Administrative Contractor showing the date benefits were exhausted.


Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.