APA WF # 25-23 Sports Physical Clarification

The proposed policy changes are being promulgated as Permanent Rules.

The Oklahoma Healthcare Authority (OHCA) is proposing revisions to add language specifying that sports physicals that occur during an Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) visit can occur but are not billable as a stand-alone service. Revisions also include clarifying language that sports physicals do not meet EPSDT screening requirements and cannot be reimbursed when performed as the only service of the day.

Please view the draft regulatory text here and submit feedback via the comment box.

Pursuant to 75 O.S. §303(D), a rule impact statement will be posted here beginning December 30, 2025. Individuals may also request a copy using the comment box, and the statement will be provided on December 30, 2025.

Proposed Policy Timeline

Circulation Date: 12/15/2025

Medical Advisory Committee: 1/8/2026

Comment Due Date: 1/15/2026

Public Hearing: 1/15/2026

Board Meeting: 1/21/2026

After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.