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Taking a Stand against the ADvantage Waiver Recoup - 7/24/2015

Many Oklahoma agencies received a letter from the OHCA (Oklahoma Health Care Authority) about the ADvantage Waiver Program and their ruling to recoup money going back for 2 years, which has many Oklahoma agencies worried.

 

The ADvantage Waiver Program is for the frail elderly and adults with physical disabilities age 21 and over who do not have mental retardation or a cognitive impairment.

 

AT SERVICES PROVIDED/COVERED

• Assessments & Evaluations

• Maintenance & Repairs

• Case Management

• Training for Consumer & Family

• Information & Referral

• Fabrication of Devices

• Locating Alternate Funding

• Advocacy/Other

 

The recoup will involve an in-depth investigation going back 2 years into the agencies’ billing to see whether agencies billed for services on individuals involved in the ADvantage Waiver Program, which would make them ineligible for certain services.

 

“Recouping money from 2 years back will hit Oklahoma agencies hard,” said Clyde Wafford, president of OrionNet Systems.  

 

Some agencies are joining together to fight the recoup. 

 

“Strength is in numbers,” said Clyde Wafford. “I hope if enough agencies join together and approach OHCA then they can reconsider their decision on recouping so much so far back.” 

 

Agencies have less than 20 days to respond to the state ruling. OrionNet Systems is willing to have their team there to show their support for the affected behavioral health agencies. 

 

“I hope everyone hit by this will at least make their voice be known,” said Clyde Wafford.  

 

About OrionNet Systems

OrionNet is an Oklahoma small business founded in 2001. OrionNet has designed, developed and supported applications created both for the client-server and web environments, as well as developing, marketing and supporting a commercial application for the counseling centers industry.

Visit the OrionNet Systems’ website, www.iorion.com, or their social media pages, https://twitter.com/ThinkHealth & https://www.facebook.com/pages/OrionNet-Systems/139352156150090 for more information.

 

About the Oklahoma Health Care Authority

The Oklahoma Health Care Authority is the primary entity in the state of Oklahoma charged with controlling costs of state-purchased health care. http://www.okhca.org/individuals.aspx?id=8143

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