Okla. Admin. Code § 450:1-3-22

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

Section 450:1-3-22 - Contractor reimbursement rates

Reimbursements to contractors for mental health, substance abuse, eating disorder services, gambling addiction services, narcotic treatment services, and residential care services shall be considered and set in the manner described as follows:

(1) Contractors shall annually, or as otherwise prescribed, submit to ODMHSAS a uniform cost report in the form and format determined by ODMHSAS, and within time-frames established by ODMHSAS.

(2) ODMHSAS staff shall review and analyze these cost reports, requesting where deemed necessary the submission of supporting clarifying information within fifteen (15) days of said request.

(3) ODMHSAS staff may recommend to the Board fixed uniform rates for services, taking into consideration variables such as average costs, appropriate inflationary factors, capitation methods, performance outcome measures, staff credentials and available funding.

(4) Prior to submitting to the Board the proposed rates or changes to existing rates, the following shall occur:

(A) The ODMHSAS shall provide written notice of an open hearing on the proposed fixed rates to each applicable contractor of record.

(B) The ODMHSAS shall conduct, and make a summary of, the scheduled open hearing.

(5) Consideration of the proposed fixed rate by the Board shall not occur until the Director of Department of Central Services has been provided with, pursuant to 74 O.S. §85.7 :

(A) Thirty (30) days written notice of the Board Meeting to consider the uniform rates of reimbursement;

(B) A copy of the Board Meeting agenda item(s) concerning the proposed rate(s); and

(C) All supporting documentation and materials regarding the reimbursement rates being proposed.

(6) The Board shall, at the meeting referenced in (5)(A) and (B) of this section, separately consider each proposed fixed and uniform rate of reimbursement. These rates, if adopted, shall then take effect on a date determined by the Board when the rates are considered for adoption; and remain in effect until subsequent Board action.

(7) All revisions shall be examined, proposed, considered and adopted pursuant to this section.

(8) Where a fixed rate is already authorized by the Department of Central Services according to the provisions of 74 O.S. §85.7, ODMHSAS, through its Commissioner, may adopt and utilize said fixed rate without Board approval.

Okla. Admin. Code § 450:1-3-22

Added at 20 Ok Reg 2100, eff 7-1-03; Amended at 23 Ok Reg 1941, eff 7-1-06; Amended at 24 Ok Reg 2554, eff 7-12-07; Amended at 28 Ok Reg 902, eff 7-1-11