MEDICAID
OKLAHOMA 2024 SESSION LAW SERVICE Fifty-Ninth Legislature, 2024 Second Regular Session
2024 Okla. Sess. Law Serv. Ch. 221 (H.B. 3980) (WEST)
OKLAHOMA 2024 SESSION LAW SERVICE
Fifty-Ninth Legislature, 2024 Second Regular Session
CHAPTER 221
H.B. No. 3980
MEDICAID
An Act relating to Medicaid; defining terms; providing hospice coverage for Medicaid members; stating requirements for coverage; providing for codification; and providing an effective date.
SUBJECT: Medicaid
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1011.25 of Title 56, unless there is created a duplication in numbering, reads as follows:
<< OK ST T. 56 § 1011.25 >>
A. As used in this act, “hospice care” means a comprehensive, holistic program of palliative and/or comfort care and support provided to the member and his or her family when a physician certifies that the member has a terminal illness and has a life expectancy of six (6) months or less.
1. Hospice services must be related to the palliation and management of the member's illness, symptom control, or to enable the individual to maintain activities of daily living and basic functional skills; and
2. Hospice care is performed under the direction of a physician as per the member's plan of care in an approved hospital hospice facility, in-home hospice program, or nursing facility.
B. 1. Coverage for hospice services shall be provided to all Medicaid eligible members.
2. Hospice care eligibility requires physician certification that the member is terminally ill and includes a medical prognosis with a life expectancy of six (6) months or less if the illness runs its normal course. The terminal prognosis also must be supported by clinical documentation in the medical record.
SECTION 2. This act shall become effective November 1, 2024..
Approved April 30, 2024.
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