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OK SB750
Bill
AI Summary
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Oklahoma Health Care Authority shall make nursing facility payments for individuals meeting financial requirements and requiring skilled nursing services, substantial assistance with daily living activities, or 24-hour supervision due to cognitive impairment.
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Same eligibility requirements apply to aged and disabled individuals (excluding those with intellectual disabilities) seeking home and community-based waiver services as an alternative to nursing facility admission.
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Authority must use Minimum Data Set 3.0 Resident Assessment Instrument (MDS-RAI) to determine medical necessity and shall obtain advice from technical expert panel before implementation.
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Authority must retain a qualified independent contractor organization by January 1, 2016 to administer eligibility and medical necessity determinations.
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Eligibility must be redetermined quarterly or upon significant changes in the recipient's condition; provisions apply to individuals initially applying for services on or after January 1, 2016.
Legislative Description
Oklahoma Medicaid Program; providing standards for certain payments. Effective date.
Last Action
Recommendation to the full committee; Do Pass as amended Appr/Sub-Health and Human Services sub-committee
2/11/2015