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317:30-5-557.Coverage by category
[Revised 08-13-10]
(a) Adults. SoonerCare does not cover adults (Age 21 or over) for private duty nursing with the exception of subsection (c).
(b) Children. SoonerCare does cover children (Under the age of 21) if:
(1) the child is eligible for SoonerCare; and
(2) the Oklahoma Health Care Authority, in its discretion, deems the services medically necessary. Medical necessity is determined in accordance with OAC 317:30-5-560.1.
(c) Individuals eligible for Part B of Medicare. Payment is made utilizing the SoonerCare allowable for comparable services.

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.