- (a) For dual eligible members. Payment is made for Medicare-related deductibles and/or coinsurance.
- (b) For individuals who are not eligible for Part A services. For individuals who have exhausted Medicare Part A benefits, claims must be accompanied by a statement from the Medicare Part A Regional Administrative Contractor showing the date benefits were exhausted.
Added at 23 Ok Reg 2508, eff 6-25-06
Amended at 36 Ok Reg 920, eff 9-1-19