Section 13d reporting requirements need updating
Please post all comments by close of business Monday, December 18, 2017, via the Oklahoma Health Care Authority Policy Change Blog.Title: Dear Provider Letter 2017-34 Provider Letter 2017-34 serves to inform providers on the prior authorization for the medications Vimizim and Fabrazyme, effective December 15, 2017.
Tooth extraction must have medical need documented.
The OHCA will recognize CMS G-code G0515 (development of cognitive skills to improve attention, memory, problem solving [includes compensatory training], direct [one-on-one] patient contact, each 15 minutes.) Please note, G0515 will be covered for members aged 0-20 only and will require prior authorization.