Library: Policy

340:75-13-61. Medical services to children in placement

Revised 9-14-24

        Children in Oklahoma Human Services (OKDHS) custody and out-of-home placements have fee-for-service medical cases.  The Oklahoma Health Care Authority pays for each medical service provided at the Medicaid allowable rate.  The child welfare specialist:

(1) ensures medical services are provided, per Oklahoma Administrative Code (OAC) 340:75-14-3;

(2) applies for SoonerCare (Medicaid) for a child following execution of a court order to remove the child by entering the child's removal and placement information into KIDS as soon as possible, but no later than two-business days after the child was physically placed in OKDHS custody per OAC 340:75-3-300 ITS 10(6).

(A) When the child's removal information is entered into the KIDS Removal screen, a KIDS assignment is generated to the custody specialist.

(B) The KIDS assignment to the custody specialist is considered the referral for:

(i) Title XIX medical benefits; and

(ii) Title IV-E eligibility determination; and

(3) notifies the placement provider of the child's medical ID number upon receipt to facilitate medical services and payment.