Native American Consultation Page

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The Oklahoma Health Care Authority (OHCA) seeks advice from Indian Health Services,tribal organizations and urban lndian clinics (I/T/U) in developing new or amended state plans, waiver amendments,or policy changes.

The Native American page is designed to notify Indian Health Services,tribal organizations and urban lndian clinics of any state plan, waiver, or proposed rule changes by providing an online tribal consultation forum.

This forum will provide I/T/U's an opportunity to review and make comments.

Please use the feedback forms below in the applicable  proposed change box to give feedback on the proposed policy change.

 

 

nacp 

Use the links below to make suggestions on rules not currently being considered for change.

 

        Proposed Policy 

 

Circulated
Date
 

 Proposed Change Work Folder 

 Description of Change 

 Comment
Due Date
 

 OHCA Public Hearing/MAC/Board
Dates & Agendas
 
7/30/2014 

APA WF #  14-15 

 Feedback Form 

Behavioral Health Billable Hours  Rules are revised to limit the number of hours that outpatient behavioral health rendering providers can be reimbursed to 35 hours per week. Without the recommended revisions, ODMHSAS is at risk of exhausting its State appropriated dollars required to maintain the State's Medicaid Behavioral Health Program. 

09/03/2014

MAC: 09/03/2014

Board: 09/11/2014

8/5/2014

APA WF #  14-16

Feedback Form 

Health Homes — Rules are added to create coverage guidelines for Health Homes. Health Homes are created to promote enhanced integration and coordination of primary, acute, behavioral health, and long-term services and supports for persons across the lifespan with chronic illness. 

09/03/2014 MAC: 09/03/2014 

Board: 09/11/2014

 
8/6/2014 APA WF # 14-17 

Feedback Form 

Moving to an SSI Criteria State for Determining Medicaid Eligibility for Aged, Blind, and Disabled Individuals — Rules are amended to come into compliance with federal regulations regarding eligibility determinations for Aged, Blind, and Disabled (ABD) individuals applying for Medicaid services. OHCA is transitioning from a 209(b) State to the Supplemental Security Income (SSI) Criteria administrative option. This change includes amending current policy, the State Plan, and 1915(c) Home and Community Based Services Waivers pertaining to financial criteria for determining countable income and resources for ABD populations and matching that to current Social Security Administration regulations for persons receiving SSI. 

09/03/2014 MAC: 09/03/2014

Board: 09/11/2014

8/14/14 APA WF #  14-14 

Feedback Form 

HCBS Final Rule — Policy is revised to include all 1915(c) waiver programs to comply with 42 CFR 441.301 regarding conflict of interest provisions for case management services.  These emergency changes are necessary as the regulation states providers of HCBS for the individual, or those who have an interest in or are employed by a provider of HCBS for the individual, must not provide case management services or develop the person centered service plan.  Without the recommended changes, the State is out of compliance with CMS and may be in risk of losing federal funding.   

09/03/2014 MAC: 09/03/2014

Board: 09/11/2014

 

 

 

     Home and Community-Based Services (HCBS) Waivers 

 

Circulated
Date
  

Proposed
Changes
  

Description of
Change
  

OHCA Comment
Due Date
  

Proposed Submittal Date  

  

SoonerCare Choice (SC) Waivers  

 

Circulated
Date
 

Waiver Application/Amendment 

 Waiver Program 

OHCA Comment
Due Date
 

Proposed Submittal Date 

 

 State Plan Amendment (SPA) 

 

Circulated
Date
 

Proposed
Change
 

Description of Change 

OHCA Comment
Due Date
 

Proposed Submittal Date 

07/10/2014

Addition of Health Home services - Adults 

Feedback Form  

The Oklahoma State Plan will be amended to include the addition of Health Home services as authorized in federal law. Two new service delivery models will be created as a result of the State Plan Amendment. One health home will provide an integrated system of services to assist children with serious emotional disturbance. The adult health home will serve qualifying individuals with serious mental illness. Health home providers will coordinate all primary, acute and behavioral health and long-term care services and supports to treat the whole person.   

08/09/2014

10/01/2014

07/10/2014

  Addition of Health Home services - Children 

Feedback Form  

The Oklahoma State Plan will be amended to include the addition of Health Home services as authorized in federal law. Two new service delivery models will be created as a result of the State Plan Amendment. One health home will provide an integrated system of services to assist children with serious emotional disturbance. The adult health home will serve qualifying individuals with serious mental illness. Health home providers will coordinate all primary, acute and behavioral health and long-term care services and supports to treat the whole person.   

08/09/2014

10/01/2014

Disclaimer: Oklahoma Health Care Authority (OHCA) policy comment section will be reviewed and considered under the current change. Personal information should not be shared/or submitted in the comment section. This comment section is reserved for proposed rule changes.