Okla. Admin. Code tit. 340, ch. 35 - Medical Assistance for Adults and Children [Revoked]

  1. Subchapter 1 - General Provisions [Revoked] (§ 340:35-1-1 to 340:35-1-3)
  2. Subchapter 3 - Coverage and Exclusions [Revoked], version 4 (§ 340:35-3-1 to 340:35-3-3)
  3. Subchapter 5 - Eligibility and Countable Income [Revoked], version 2 (Part 1 to 5)
  4. Subchapter 7 - Short-Term Medical Services [Revoked] (Part 1 to 7)
  5. Subchapter 9 - Long-Term Medical Care [Revoked], version 3 (Part 1 to 11)
  6. Subchapter 11 - Projects [Revoked], version 2 (§ 340:35-11-1 to 340:35-11-5)
  7. Subchapter 13 - Client Rights and Responsibilities [Revoked], version 3 (§ 340:35-13-1 to 340:35-13-6)
  8. Subchapter 15 - Personal Care Services [Expired], version 2 (§ 340:35-15-1 to 340:35-15-15)
  9. Subchapter 17 - Advantage Waiver Services [Expired], version 3 (§ 340:35-17-1 to 340:35-17-24)
  10. Subchapter 19 - Nursing Facility Services [Expired], version 3 (§ 340:35-19-1 to 340:35-19-30)
  11. Appendix A - Notice to Client Regarding Long-Term Medical Care [Revoked], version 7
  12. Appendix B - Notice to Nursing Care Facility [Revoked], version 6
  13. Appendix C - Notification Regarding Patient in Skilled Nursing Facility or Intermediate Care Facility [Revoked], version 5
  14. Appendix D - Management of Recipient's Funds [Revoked], version 5
  15. Appendix E - Accounting - Recipient's Personal Funds and Property [Revoked], version 5
  16. Appendix F - Statement of Compensable Therapeutic Leave Only [Revoked], version 5
  17. Appendix G - Dental Claim [Revoked], version 4
  18. Appendix H - Physician's Report and Claim for EPSDT and Related Procedures [Revoked], version 4
  19. Appendix I - Pharmacy Claim [Revoked], version 4
  20. Appendix J - Consent Form [Revoked], version 3
  21. Appendix K - Hospital Tape Transmittal [Revoked], version 3
  22. Appendix L - Transportation Claim [Revoked], version 3
  23. Appendix M - Optometrist Claim [Revoked], version 3
  24. Appendix N - Physician's Prescription and Authorization [Revoked], version 3
  25. Appendix O - Hearing Appliance Prescription and Authorization [Revoked], version 3
  26. Appendix P - Request for Prior Authorization Dental Services [Revoked], version 3
  27. Appendix Q - Medical Assistance Redetermination of Eligibility Statement [Revoked], version 3
  28. Appendix R - Redetermination of Eligibility for Recipient's Receiving SSI [Revoked], version 3
  29. Appendix S - Notification of Eligiblity Status for Medical Assistance [Revoked], version 2
  30. Appendix T - Medical Assistance Application [Revoked], version 2
  31. Appendix U - Medical Assistance Standards - Medically Needy [Revoked], version 2
  32. Appendix V - Fee Schedule for NF and ICF/MR Services [Revoked], version 2
  33. Appendix W - Acknowledgement of Temporary Absence/Home Property Policy [Revoked], version 2
  34. Appendix X - Long Term Care Assessment [Revoked], version 2
  35. Appendix Y - Long-Term Care Preadmission Screen [Revoked], version 2
  36. Appendix AA - Capital Resources Information [Revoked], version 2
  37. Appendix BB - Acknowledgement of Intent to Return Home\Medicaid Recovery Program [Revoked], version 2

Notes

Okla. Admin. Code tit. 340, ch. 35
Codified 12-31-91
Authority: Federal Social Security Act, Title XIX; OKLA. CONST. art XXV; Immigration and Reform Act of 1986; 10 O.S., §§ 175.1, 1415, and 1417; 56 O.S., §§ 28.1 et seq., 161 et seq., 162, 164, 175, and 177; 63 O.S., § 1-818.5

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