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317:30-5-953.Billing
[Revised 09-14-18]

A billing unit for personal care services provided by a home care agency is 15 minutes of service delivery and equals a visit. Billing procedures for personal care services are contained in the Oklahoma Medicaid Management Information Systems (OKMMIS) Billing and Procedure Manual.  Service time for personal care and nursing is documented solely through the Electronic Visit Verification (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 time in accordance with their agency backup plan.  The agency's backup procedures are permitted only when the EVV system is unavailable.

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.