OHCA Policies and Rules



317:35-18-7.Appeals process
[Issued 07-01-06]
(a) Internal appeals
(1) Any client who is denied program services is entitled to an appeal through the provider.
(2) If the client also chooses to file an external appeal, the provider must assist the client in filing an external appeal.
(b) External appeals may be filed by any client covered by:
(1) Medicaid through the OHCA legal division.
(2) Medicare but not Medicaid through the Centers for Medicare and Medicaid Services hearing process.

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.