Proposed Changes in Reimbursement Rates and/or
Methodology for HealthChoice and Department of Corrections Contracts
On October 5, 2012, the Employees Group Insurance Division (EGID) of the Office of Management and Enterprises Services held a public hearing regarding changes in reimbursement rates and/or methodology for facility injectables and dialysis in accordance with Oklahoma State Statues, Title 74, Chapter 37, Section 1325 which requires EGID to schedule a hearing 30 days prior to adopting major changes to reimbursement rates or methodologies. The hearing was an open forum where providers had the opportunity to comment on the proposed changes presented by EGID. The Oklahoma Hospital Association and facilities with high utilization participated on a task force prior to public hearing to provide input into EGID’s proposed reimbursement recommendations. There were no public comments made at this hearing. The proposed reimbursement changes will become effective January 1, 2013.
To see a transcript of the hearing, click here.
To see the detailed description of the proposed changes for injectables, click here.
To see the detailed description of the proposed changes for dialysis, click here.
To see the fee schedule addendum which reflects changes effective 1/1/13, click here.
There will be an additional addendum containing adds/deletes for codes effective 1/1/13.