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According to current policy, the base year Medicare cost report, used to calculate the hospital assessment, is required to be updated every two years based on the hospital's fiscal year that ended two years prior. The proposed revisions will amend the Supplemental Hospital Offset Payment Program (SHOPP) assessment policy. Please view the circulation document here: APA WF# 20-09, and submit feedback via the comment box below.ĪPA WF# 20-10 Supplemental Hospital Offset Payment Program (SHOPP) The proposed revisions are needed to with comply with the 1115 waiver that permits the Oklahoma Health Care Authority to waive compliance with the Medicaid program requirements and expand healthcare services to both providers and members who are nineteen (19) or older and under the age of sixty-five (65) through the PCMH service delivery model. Please view the circulation document here: APA WF# 20-08B, and submit feedback via the comment box below.ĪPA WF# 20-09 Patient Centered Medical Home (PCMH) Please view the circulation document here: APA WF# 20-08A, and submit feedback via the comment box below. The proposed rule changes will expand Medicaid eligibility for individuals, age nineteen (19) or older and under age sixty-five (65), with incomes at or below 133% of the federal poverty level. Please view the circulation document here: APA WF# 20-06D, and submit feedback via the comment box below. Please view the circulation document here: APA WF# 20-06C, and submit feedback via the comment box below.ĪPA WF# 20-06D Durable Medical Equipment (DME) and Supplies Benefit moved under the Scope of Home Health Benefit Please view the circulation document here: APA WF# 20-06B, and submit feedback via the comment box below.ĪPA WF# 20-06C Durable Medical Equipment (DME) and Supplies Benefit moved under the Scope of Home Health Benefit Prosthetics and orthotics are under a separate regulation and remain an optional benefit. The proposed revisions are needed to comply with the Home Health final rule in which the DME and supplies benefit was revised from an optional benefit to a mandatory benefit and was made subject to the scope of the home health benefit. Please view the circulation document here: APA WF# 20-06A, and submit feedback via the comment box below.ĪPA WF# 20-06B Durable Medical Equipment (DME) and Supplies Benefit moved under the Scope of Home Health Benefit
#Guardian anytime dental lawton ok full
Finally, revisions will remove language that refers to the family planning program since the program will be terminated and that eligibility group will be eligible for full benefits as a part of the new adult group.
Please view the circulation document here: APA WF# 20-05, and submit feedback via the comment box below.ĪPA WF# 20-06A Durable Medical Equipment (DME) and Supplies Benefit moved under the Scope of Home Health Benefit Additionally, the proposed new rule will describe the application, obligations, and implications for the appellant when Medicaid benefits are continued or reinstated pending an appeal.
#Guardian anytime dental lawton ok code
The proposed new rule will describe under what conditions Medicaid benefits will continue or be reinstated pending an appeal to comply with Section 431.230 of Title 42 of the Code of Federal Regulations. Please view the circulation document here: APA WF# 20-04, and submit feedback via the comment box below.ĪPA WF# 20-05 Continuation of Services Pending Appeals The proposed new rules are needed in order to comply with the 21 st Century Cures Act which requires providers of personal care services to utilize an EVV system where visit details are documented.
#Guardian anytime dental lawton ok verification
APA WF# 20-04 Electronic Visit Verification (EVV)
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