Okla. Admin. Code § 317:35-16-5 - [Effective until 9/14/2024] Certification for State Plan Personal Care
(a)
State
Plan Personal Care (SPPC) certification period. The first month of the
SPPC certification period is the first month the member is determined
financially and medically eligible for SPPC. When eligibility or ineligibility
for SPPC is established, OHCA updates the computer-generated notice and the
appropriate notice is mailed to the member.
(b)
Financial certification
period. The financial certification period for SPPC services is twelve
(12) months. Eligibility redetermination is completed according to the
categorical relationship.
(c)
Medical certification period. A medical certification period of
not more than thirty-six (36) months is assigned for a member who is approved
for SPPC. The certification period for SPPC services is based on the Uniform
Comprehensive Assessment Tool evaluation and clinical judgment of the OHCA
nurse.
Notes
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(a) State Plan Personal Care (SPPC) certification period . The first month of the SPPC certification period is the first month the member is determined financially and medically eligible for SPPC. When eligibility or ineligibility for SPPC is established, OHCA updates the computer-generated notice and the appropriate notice is mailed to the member.
(b) Financial certification period . The financial certification period for SPPC services is twelve (12) months. Eligibility redetermination is completed according to the categorical relationship.
(c) Medical certification period . A medical certification period of not more than thirty-six (36) months is assigned for a member who is approved for SPPC. The certification period for SPPC services is based on the Uniform Comprehensive Assessment Tool evaluation and clinical judgment of the OHCA nurse.