Reimbursement for personal care services (PCS) and home health care services (HHCS) is made only to agencies that are certified as home care agency providers by the Oklahoma State Department of Health and are certified by the ADvantage Administration as meeting applicable federal, state and local laws, rules and regulations. In order to be eligible for reimbursement, the home care agency must have an approved provider agreement on file with the Oklahoma Health Care Authority, per Oklahoma Administrative Code (OAC) 317:30-3-2. Service time of PCS and HHCS is documented through the designated statewide Electronic Visit Verification (EVV) system when services are provided in the member's home. The home care agency is required to use the EVV system. Refer to OAC 317:30-3-34(7) for additional procedures for EVV system failure or EVV system unavailability. Refer to OAC 317:35-17-22 for additional instructions.

Added at 12 Ok Reg 751, eff 1-5-95 through 7-14-95 (emergency)

Added at 12 Ok Reg 3131, eff 7-27-95

Amended at 18 Ok Reg 2962, eff 5-17-01 (emergency)

Amended at 19 Ok Reg 1067, eff 5-13-02

Amended at 26 Ok Reg 994, eff 5-1-09 (emergency)

Amended at 27 Ok Reg 621, eff 1-14-10 (emergency)

Amended at 27 Ok Reg 1466, eff 6-11-10

Amended at 35 Ok Reg 1458, eff 9-14-18

Amended at 1060 Ok Reg 9,

Amended at 42 Ok Reg, Number 21, effective 9-1-25