Oklahoma § 56-1017.6 - Options counseling for long-term care for persons 55 or

§ 56-1017.6. Options counseling for long-term care for persons 55 or

older.

A. As used in this section, "Program of All-Inclusive Care for

the Elderly (PACE)" means a full risk-bearing program that provides

comprehensive health services for individuals age fifty-five (55)

and over who are sufficiently frail to be categorized as nursing

home eligible by the state's Medicaid program. PACE shall be

Oklahoma Statutes - Title 56. Poor Persons

reimbursed on a fixed per-member per-month rate and, in return for

such fixed payment, is responsible for providing all health

services, including transportation.

B. 1. Persons who are fifty-five (55) years of age or older,

or their legal guardians or lay caregivers, shall receive options

counseling for long-term care as defined in Section 3002.7 of Title

56 of the Oklahoma Statutes prior to admission to a long-term care

facility, except in the case of an emergency admission. Options

counseling shall include, but not be limited to, PACE, if so

applicable, nursing facilities and home- and community-based

services.

2. In the case of an emergency admission, the options

counseling for long-term care shall take place within fourteen (14)

days of the emergency admission or as soon as is reasonably

possible.

3. Persons who are fifty-five (55) years of age or older and

live within the defined service area of a PACE provider shall

receive information regarding PACE as part of options counseling for

long-term care as defined in Section 3002.7 of Title 56 of the

Oklahoma Statutes.

4. Any person currently residing in a nursing facility shall be

able to receive options counseling for long-term care as defined in

Section 3002.7 of Title 56 of the Oklahoma Statutes at the person's,

or their legal guardian's or lay caregiver's, request or at the time

of any reevaluation or renewal of long-term care. Nothing in this

section shall require any person currently residing in a nursing

facility to receive options counseling if they do not desire to do

so.

C. A PACE organization shall be permitted to engage in

enrollment practices throughout the entirety of each month, to be

effective the first day of the following month.

Added by Laws 2019, c. 436, § 1, eff. Nov. 1, 2019.