ok-2466: Oklahoma Health Care Authority — Medical Providers-Fee for Service
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The proposed policy revisions implement the mandatory “four walls” exception for Clinic Services when provided by Indian Health Service (IHS) clinics and Tribal clinics, as required by the 2024 Outpatient Prospective Payment System final rule. Off-site services furnished by an IHS or Tribal clinic, outside of the “four walls” of the clinic, had previously been covered under a temporary exemption to the 42 CFR 440.90 Clinic Services location requirements. The 2024 OPPS final rule codified this exemption.
The agency’s own summary, as published.
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