Oklahoma Code § 56-2004

Title 56. Poor Persons: Home-Based Support Quality Assurance Assessment
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A.  As used in this section:
1.  "Additional costs reimbursed to the contracted community-
based service provider" means both state and federal Medicaid
expenditures in excess of the aggregate amounts that would otherwise
have been paid to a contracted community-based service provider
including, but not limited to, costs related to an audit required by
the Department of Human Services, the Oklahoma Health Care
Authority, or the State Auditor and Inspector;
2.  "Contracted community-based service provider" means any
entity contracted by the Department of Human Services, the Oklahoma
Health Care Authority, or any private person providing the support,
or promotion of support, for a service recipient to remain in such
person's home or residence and shall include, but not be limited to,
entities and persons providing personal support, professional
support, case management, transportation services, and services
through a Home and Community-Based Waiver or Advantage Waiver as
defined by Title XIX of the Social Security Act, Section 1915 (C);
3.  "Gross receipts" means annual gross revenues received in
compensation for services rendered by a contracted community-based
service provider, but shall not include any amount received by a
contracted service provider as a charitable contribution or any
amount received by a provider as compensation for services rendered
that is not reimbursed; and
4.  "Medicaid" means the medical assistance program established
in Title XIX of the federal Social Security Act and administered in
the state by the Oklahoma Health Care Authority.
B.  Information required to calculate the Home-Based Support
Quality Assurance Assessment provided in Section 4002 of Title 68 of
the Oklahoma Statutes for a contracted community-based service
provider shall be reported to the Oklahoma Health Care Authority
using forms supplied by the Oklahoma Health Care Authority.
C.  The payment of the Home-Based Quality Assurance Assessment
by contracted community-based service providers shall be an
allowable cost for Medicaid reimbursement purposes.

D.  1.  There is hereby created in the State Treasury a
revolving fund for the Oklahoma Health Care Authority to be
designated the "Home-Based Quality Assurance Fund".
2.  The fund shall be a continuing fund, not subject to fiscal
year limitations, and shall consist of:
a. all monies received by the Oklahoma Health Care
Authority pursuant to Section 4002 of Title 68 of the
Oklahoma Statutes and otherwise specified or
authorized by law,
b. monies received by the Oklahoma Health Care Authority
due to federal financial participation pursuant to
Title XIX of the Social Security Act, and
c. interest attributable to investment of money in the
Home-Based Quality Assurance Fund.
3.  All monies accruing to the credit of the fund are
appropriated and may be budgeted and expended by the Oklahoma Health
Care Authority for Medicaid services provided by contracted
community-based service providers.
4.  Expenditures from the fund shall be made upon warrants
issued by the State Treasurer against claims filed as prescribed by
law with the Director of the Office of Management and Enterprise
Services for approval and payment.
5.  The Home-Based Quality Assurance Fund and the programs
specified in this section that are funded by revenues collected from
the Home-Based Quality Assurance Assessment pursuant to this section
are exempt from budgetary cuts, reductions, or eliminations.
6.  The reimbursement rate for contracted community-based
service providers shall be made in accordance with Oklahoma's
Medicaid reimbursement rate methodology and the provisions of this
section.
7.  No contracted community-based service provider shall be
guaranteed, expressly or otherwise, that any additional costs
reimbursed to the contracted community-based service provider shall
equal or exceed the amount of the Home-Based Quality Assurance
Assessment paid by the contracted community-based service provider.
E.  1.  If federal financial participation pursuant to Title XIX
of the Social Security Act is not available to the Oklahoma Medicaid
program, for purposes of matching expenditures from the Home-Based
Quality Assurance Fund at the approved federal medical assistance
percentage for the applicable fiscal year, the Home-Based Quality
Assurance Assessment shall be null and void as of the date of the
nonavailability of such federal funding, through and during any
period of nonavailability.
2.  If this section is invalidated by any court of last resort
under circumstances not covered in subsection F of this section, the
Home-Based Quality Assurance Assessment shall be void as of the
effective date of that invalidation.

3.  If the Home-Based Quality Assurance Assessment is determined
to be void for any of the reasons enumerated in this section, any
Home-Based Quality Assurance Assessment assessed and collected for
any periods after such invalidation shall be returned in full within
sixty (60) days by the Oklahoma Health Care Authority to the
contracted community-based service provider from which it was
collected.
4.  If any provision of this section, or the application
thereof, is determined by any court of last resort to prevent the
state from obtaining federal financial participation in the state
Medicaid program, such provision shall be deemed void as of the date
of the nonavailability of such federal funding and through and
during any period of nonavailability.
F.  1.  If any provision of this section or the application
thereof shall be adjudged to be invalid by any court of last resort,
such judgment shall not affect, impair or invalidate the remaining
provisions of the section, but shall be confined in its operation to
the provision thereof directly involved in the controversy in which
such judgment was rendered.  The applicability of such provision to
other persons or circumstances shall not be affected thereby.
2.  This subsection shall not apply to any judgment that affects
the rate of the Home-Based Quality Assurance Assessment, its
applicability to all contracted community-based service providers in
the state, the usage of the fee for the purposes prescribed in this
section, or the ability of the Oklahoma Health Care Authority to
obtain full federal participation to match its expenditures of the
proceeds of the assessment.
G.  The Oklahoma Health Care Authority shall:
1.  Promulgate rules for the implementation and enforcement of
the Home-Based Quality Assurance Assessment established by this
section; and
2.  Provide for administrative penalties in the event a
contracted community-based service provider fails to:
a. submit the Home-Based Quality Assurance Assessment,
b. submit the Home-Based Quality Assurance Assessment in
a timely manner, or
c. submit reports as required by this section or by the
Oklahoma Health Care Authority.

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