OHCA Policies and Rules

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317:30-5-336.2.Nearest appropriate facility
[Issued 12-21-06]
(a) OHCA covers transportation to the nearest facility that can appropriately treat the member.
(b) An institution is not considered an appropriate facility if the member's condition requires a higher level of care or specialized services available at the more distant hospital. However, a legal impediment barring a member's admission would mean that the institution did not have "appropriate facilities". For example, the nearest transplant center may be in another state and that state's law precludes admission of nonresidents.
(c) An institution is not considered an appropriate facility if no bed is available. However, the medical records must be properly documented.

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.