ok-1144: Oklahoma Health Care Authority — Medical Providers-Fee for Service
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The proposed rule revisions update outdated applied behavioral analysis (ABA) policies to ensure that services meet a standard level of quality for all applicable members. This includes updates to documentation requirements for Behavior Intervention Plans, critical incident reporting, family training requirements, and billing guidelines. Additionally, these rules update the medical necessity criteria and describe various exclusions to treatment. Lastly, language is added to ensure ABA providers do not use restraint, except in extreme and documented circumstances.
The agency’s own summary, as published.
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