KodaComplyHome care rules, state by state, in plain EnglishDocuments collected September 22, 2026

Oklahoma home care rules

Oklahoma's State Department of Health (OSDH) licenses home care agencies that give skilled or personal care, and separately licenses sitter or companion agencies. Medicaid home care is paid by the Oklahoma Health Care Authority (OHCA) directly, including the ADvantage waiver run by Oklahoma Human Services, and by three SoonerSelect health plans: Aetna Better Health of Oklahoma, Humana Healthy Horizons in Oklahoma and Oklahoma Complete Health. The change now: OHCA is replacing the state's EVV system with Acumen's DCI system, while health plan providers stay on HHAeXchange.

43 official documents·collected September 22, 2026·checked against them September 23, 2026
License for non-medical home care?YesHome care agency license from OSDH for personal care; a separate sitter or companion license for services with no hands-on care. $1,000 to apply, $500 to renew.
License for home health?Yes, same licenseThe home care agency license covers skilled care (nursing, therapy) and personal care. Medicare certification is a separate step.
EVVRequired; state system changingFee-for-service: the state system (Fiserv today, moving to Acumen DCI) or a compliant vendor. Health plans: HHAeXchange.
Medicaid health plans3 plansAetna Better Health, Humana Healthy Horizons, Oklahoma Complete Health (SoonerSelect). HCBS waiver members, including ADvantage, are not in SoonerSelect.

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowOHCA letter 2025-21, Nov. 20, 2025 · EVV town hall, March 18, 2026

EVV is required now for Medicaid personal care and home health

OHCA says all providers must already be submitting claims in an EVV-compliant way, with no exceptions, though the same slides say the state is creating specific exceptions for outliers. Providers billing OHCA directly use the state system or a compliant vendor; providers contracted with a SoonerSelect plan use HHAeXchange or a vendor that integrates with it. OHCA's March 2026 slides list live-in caregivers among those affected by EVV.

What to do: Check that every personal care and home health visit, live-ins included, is captured in a compliant EVV system for each payer you bill.
Read this monthOHCA EVV town hall, March 18, 2026

The state EVV system is moving to Acumen (DCI)

OHCA is replacing the state-sponsored EVV system with Acumen, using DCI software, which will also be the state's EVV data aggregator. Agencies can move to DCI or use another compliant vendor that sends data to the DCI aggregator. Health plan providers are not affected and stay on HHAeXchange. The slides give no go-live date.

What to do: If you bill OHCA directly, decide whether you will use DCI or your own vendor, and watch OHCA's EVV page for training dates.
Read this monthOHCA letter 2026-15, Sept. 11, 2026

OHCA contract backlog: a way to resubmit denied claims is coming

OHCA says it has cut its backlog of contract actions by nearly 40% and expects normal processing times by mid-October. Some claims were denied because contracts were not in place on time; OHCA will set up a process to resubmit those claims, if appropriate, and will share who is eligible.

What to do: List any claims denied because your contract wasn't in place, and watch for OHCA's resubmission instructions.
For the recordOHCA letter 2026-02, Jan. 7, 2026

Apply to OHCA and the SoonerSelect plans at the same time

Providers may send contract applications to OHCA and credentialing requests to the plans together. Plans can't finish credentialing until OHCA issues a provider ID, and they pay 90% of the rate until credentialing is done.

What to do: When you apply to OHCA, start credentialing with each plan too, using each plan's resource guide.

Deadlines coming up

Dates taken from the rules and notices as we read them.

280days
June 30, 2027

Home care license renewal application due

OSDH's renewal letter asks for the renewal application, attachments and fee by June 30 each year.

311days
July 31, 2027

Home care agency licenses and administrator certificates expire

Both expire on July 31 every year (63 O.S. §1-1965 and §1-1962a; OAC 310:662-2-1).

646days
June 30, 2028

Requested SoonerSelect waiver period ends

OHCA's 1915(b) renewal request covers July 1, 2026 to June 30, 2028.