Behavioral Health and Substance Abuse Services

Behavioral Health Provider Directory

• Directory of Behavioral Health Providers By City
• CALOCUS Assessor and Trainer List

Fee Schedules

• CCP Rates and Codes
• Physician
• Private LBHP Rates and Codes
• Procedure Code Groups – CCP PG PA Groups
• Psychologist Rates and Codes 
• TFC Rates and Codes

Rules

OHCA Medicaid Rules Page 

• Part 6 – INPATIENT PSYCHIATRIC HOSPITALS: 
• Part 21 – OUTPATIENT BEHAVIORAL HEALTH SERVICES (ALL SECTIONS) 
• Part 26 – LICENSED BEHAVIORAL HEALTH PROVIDERS 
• Part 67 – BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES 
• Part 83 – RESIDENTIAL BEHAVIOR MANAGEMENT SERVICES 

On the OHCA proposed rule changes page, there is a sign up button for Web Alerts. These Web Alerts will send an email notification when there is a new posting for a proposed rule change. With each posting on this page, there is an opportunity to complete an electronic feedback form.

The OHCA seeks advice and consultation from medical professionals, professional and tribal organizations, and the general public in developing new or amended policies and rules. The proposed rule changes page is designed to give all constituents an opportunity to review and make comments regarding upcoming rule changes.

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.

Provider Manuals/Claim Tools/Provider Training/Council Meeting

• Prior Authorization Manual 
• Medical Necessity Criteria Manual 
• Claims Tools
• PRTF Survey (Cost Report)
• Training 
• Behavioral Health Advisory Council

Prior Authorization Requests

• Conditions of Treatment Participation Inpatient Psych Programs for Children
• Acute and RTC Extension Template 
• Acute and RTC Initial Admission Template 
• Behavioral Health Corrections Request Form 
• Residential Admit/Discharge Reporting 
• Therapeutic Foster Care Initial and Extension Template Version 2.0
• Guidance for Using the Inpatient Behavioral Health and TFC Prior Authorization Templates 

Enrollment

• New Contracts
• Renewal Contracts

Reports, Clinical Information and Forms

• Mathematica - Review of SoonerCare Behavioral Health Services  
• Invalid Diagnosis Codes (6-30-2009)
• Psychiatry CPT Code Crosswalk 
• Birth to 3 years old Diagnosis Crosswalk
• CALOCUS Tiers/Crosswalk
• Clinical Training Presentations