Okla. Admin. Code § 317:30-5-1091
Definition of I/T/U services
Effective Sep 1, 202542 Ok Reg, Number 21Added at 23 Ok Reg 2575, eff 6-25-06; Amended at 25 Ok Reg 2698, eff 7-25-08; Amended at 26 Ok Reg 3025, eff 7-21-09 (emergency); Amended at 27 Ok Reg 931, eff 5-13-10; Amended at 28 Ok Reg 16, eff 8-13-10 (emergency); Amended at 28 Ok Reg 1435, eff 6-25-11; Amended at 33 Ok Reg 837, eff 9-1-16; <div>Amended at 42 Ok Reg, Number 6, effective 11-1-24 (emergency)</div>; Amended at 42 Ok Reg, Number 21, effective 9-1-25Oklahoma Health Care Authority
- (a) As described in 42 CFR 136.11(a), the I/T/U services may include hospital and medical care, dental care, public health nursing, preventive care (including immunizations).
- (b) Further, 42 CFR 136.11(c) allows that the scope and availability of I/T/U services will depend upon the resources of the facility.
- (c) I/T/U services may be covered when furnished to a patient at the clinic or other location, including a mobile clinic, or the patient's place of residence. Provider contracts must meet the provider participation requirements found at OAC 317:30-5-1096.
(d) I/T/U outpatient encounters include but are not limited to:
- (1) Physicians' services and supplies incidental to a physician's services;
- (2) Within limitations as to the specific services furnished, a doctor of dentistry or oral surgery, a doctor of optometry, or a doctor of podiatry [Refer to Section 1861(r) of the Act for specific limitations];
- (3) Services of advanced practice nurses (APNs), physician assistants (PAs), certified nurse midwives (CNMs), or specialized advanced practice nurse practitioners;
- (4) Services and supplies incidental to the services of APNs and PAs (including services furnished by certified nurse midwives);
(5) Public health nursing services, within the scope of their licensure, include but are not limited to services in the following areas:
- (A) Phlebotomy;
- (B) Wound care;
- (C) Public health education;
- (D) Administration of immunizations;
- (E) Administration of medication;
- (F) Child health screenings meeting EPSDT criteria;
- (G) Smoking and Tobacco Use Cessation Counseling;
- (H) Prenatal, newborn and postpartum assessments, including case management services for first time mothers; and
- (I) General health assessments and management of conditions such as tuberculosis, diabetes and hypertension.
- (6) Visiting nurse services to the homebound;
- (7) Behavioral health professional services and services and supplies incidental to the services of LBHPs; and
- (8) Dental services.
- (9) Pharmacists’ services found in OAC 317:30-5-1226
Added at 23 Ok Reg 2575, eff 6-25-06
Amended at 25 Ok Reg 2698, eff 7-25-08
Amended at 26 Ok Reg 3025, eff 7-21-09 (emergency)
Amended at 27 Ok Reg 931, eff 5-13-10
Amended at 28 Ok Reg 16, eff 8-13-10 (emergency)
Amended at 28 Ok Reg 1435, eff 6-25-11
Amended at 33 Ok Reg 837, eff 9-1-16
<div>Amended at 42 Ok Reg, Number 6, effective 11-1-24 (emergency)</div>
Amended at 42 Ok Reg, Number 21, effective 9-1-25