Okla. Admin. Code § 317:30-5-222

Current through Vol. 42, No. 4, November 1, 2024

Section 317:30-5-222 - Reimbursement

(a) Counseling services must be billed using appropriate CPT codes and guidelines and must be medically necessary. SoonerCare does not allow more than six units [thirty (30) minutes = one (1) unit] per pregnancy including twelve (12) months postpartum care.

(b) Genetic Counselors who are employed by or remunerated by another provider may not bill the SoonerCare program directly for services if that billing would result in duplicate payment for the same service.

Okla. Admin. Code § 317:30-5-222

Added at 25 Ok Reg 428, eff 11-1-07 (emergency); Added at 25 Ok Reg 1161, eff 5-25-08

Amended by Oklahoma Register, Volume 40, Issue 14, April 3, 2023, eff. 2/21/2023 (emergency)

Amended by Oklahoma Register, Volume 40, Issue 24, September 1, 2023, eff. 9/11/2023