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317:30-5-950.Eligible providers

[Revised 09-14-18]
   Reimbursement for personal care is made only to agencies that are certified as home care agency providers by the Oklahoma State Department of Health and are certified by the ADvantage Administration (AA) as meeting applicable federal, state and local laws, rules and regulations. In order to be eligible for reimbursement, the home care agency must have an approved provider agreement on file with the Oklahoma Health Care Authority (OHCA), per Oklahoma Administrative Code (OAC) 317:30-30-3-2.  Service time of personal care is documented solely through the Electronic Visit Verification (EVV) system when services are provided in the member's home. The home care agency is required to use the EVV system. The EVV system provides alternate backup solutions when the automated system is unavailable. In the event of EVV backup system failure, the provider documents the time in accordance with their agency backup plan. The agency's backup procedures are only permitted when the EVV system is unavailable. Refer to OAC 317:35-17-22 for additional instructions.

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.