Oklahoma Health Care Authority Docket OAC 317:30 Proposed Rule

ok-1189: Oklahoma Health Care Authority — Medical Providers-Fee for Service

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Summary

Federal regulations at 42 CFR, Section 447.26, protect Medicaid beneficiaries by prohibiting the State from paying for services that relate to provider preventable conditions (PPCs), including health care-acquired conditions (HCACs) and other provider-preventable conditions (OPPCs), which are medical conditions or complications that a patient develops during a hospital stay, or ambulatory surgical encounter that was not present at admission. These revisions amend administrative rules to clarify these statutory provisions and improve reporting of PPCs.

The agency’s own summary, as published.

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