(a)
Application date. The date of the application for NF care is most
important in determining the date of eligibility. If the applicant is found
eligible for SoonerCare, certification may be made retroactive for any service
provided on or after the first day of the third month prior to the month of
application and for future months.
(b)
Time limited approvals for nursing
care. A medical certification period of a specific length may be
assigned for an individual who is categorically related to Aged, Blind and
Disabled or Aid to Families with Dependent Children. This time limit is noted
on the system. It is the responsibility of the nursing facility to notify the
area nurse thirty (30) days prior to the end of the certification period if an
extension of approval is required by the client. Based on the information from
the NF the area nurse, or nurse designee, determines whether or not an update
of the Uniform Comprehensive Tool (UCAT) is necessary for the extension. The
area nurse, or nurse designee, coordinates with appropriate staff for any
request for further UCAT assessments.
(c)
Certification period for long-term
medical care. A financial certification period of twelve (12) months is
assigned for an individual who is approved for long-term care.
Notes
Okla. Admin. Code §
317:35-19-22
Added at 12 Ok Reg 753, eff 1-6-95 through 7-14-95
(emergency); Added at 12 Ok Reg 3133, eff 7-27-95 ; Amended at 14 Ok Reg 56,
eff 4-30-96 (emergency); Amended at 14 Ok Reg 1802, eff 5-27-97 ; Amended at
15 Ok Reg 3715, eff 5-18-98 (emergency); Amended at 16 Ok Reg 1438, eff
5-27-99 ; Amended at 17 Ok Reg 2410, eff 6-26-00 ; Amended at 20 Ok Reg 1958,
eff 6-26-03 ; Amended at 21 Ok Reg 2252, eff 6-25-04 ; Amended at 23 Ok Reg
268, eff 9-1-05 (emergency); Amended at 23 Ok Reg 1378, eff 5-25-06 ; Amended
at 30 Ok Reg 1209, eff 7-1-13
Amended by
Oklahoma
Register, Volume 35, Issue 24, September 4, 2018, eff.
9/14/2018
