1. (a) An outpatient hospital clinic is a non-emergency service providing diagnostic, preventive, curative and rehabilitative services on a scheduled basis.
2. (b) Urgent care payment is made for services provided in non-emergency clinics operated by a hospital. This payment does not include the professional charges of the treating physician, nurse practitioner, physician assistant or charges for diagnostic testing. A facility charge is also allowed when drug and/or blood are administered outpatient.
3. (c) Urgent Care services will not require a referral for SoonerCare Choice members however other claims will deny without a referral.
4. (d) Adults are limited to four clinic visits per month.

Added at 24 Ok Reg 317, eff 12-1-06 (emergency)

Added at 24 Ok Reg 905, eff 5-11-07

Amended at 43 Ok Reg, Number 16, effective 3-13-26 (emergency)