OHCA Policies and Rules

Search Entire Policy
OHCA Policies and Rules Main Page


317:30-5-390.Home and Community-Based Services Waivers for adults with an intellectual disability or certain adults with related conditions

[Revised 06-25-12]
(a) Introduction to waiver services. Each Home and Community-Based Services (HCBS) Waiver that includes services for adults with an intellectual disability or certain adults with related conditions allows payment for home health care services as defined in the waiver approved by Centers for Medicare and Medicaid Services.
(1) Home health care services are skilled nursing services provided to a member by a registered nurse or a licensed practical nurse that include:
(A) direct nursing care;
(B) assessment and documentation of health changes;
(C) documentation of significant observations;
(D) maintenance of nursing plans of care;
(E) medication administration;
(F) training of the member's health care needs;
(G) preventive and health care procedures; and
(H) preparing, analyzing, and presenting nursing assessment information regarding the member.
(2) The first 36 visits provided by the home health care agency are covered by the Medicaid State Plan.
(b) Eligible providers. Skilled nursing services providers must enter into contractual agreements with the Oklahoma Health Care Authority to provide HCBS for adults with an intellectual disability or certain adults with related conditions.
(1) Individual providers must be currently licensed in Oklahoma as a:
(A) registered nurse; or
(B) licensed practical nurse.
(2) Agency providers must:
(A) have a current Medicaid HCBS home health care agency contract; or
(B) be certified by Oklahoma State Department of Health as a home health care agency.

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.