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Here are Care Providers Oklahoma latest updates as of?June?12, 2020??????Steven’s Check-in?Steven’s supplement our member update with a brief video with background information that you might find of value.? Click?the link?to access his video message??GOVERNOR STITT ANNOUNCES PHASED RETURN OF NURSING HOME VISITATION?Visits allowed to resume June 15 in accordance with guidelines:?Governor Kevin Stitt today issued Amended Executive Order 2020-20??, which allows for visitation to long-term care facilities to resume in a phased approach effective June 15.???The Oklahoma State Department of Health has?released?guidance? ensure the safety of Oklahomans who may be more vulnerable to COVID-19 exposure while also considering the quality of life and dignity of the residents of long-term care facilities. The OSDH guidance was created based on best practices from the Centers for Medicare and Medicaid Services, Centers for Disease Control and Prevention and state trade associations.?????"It is important we take a measured and responsible approach to allowing visitors to our nursing homes and long-term care facilities, just as we did with the rest of our state," said Gov. Stitt. "This guidance will allow us to continue to protect the health and lives of Oklahomans while allowing them to safely resume valuable interactions with their loved ones."???The guidance? three phases based on the prevalence of COVID-19 in each facility and its surrounding community, PPE availability, staffing levels and local hospital capacity.????"The Health Department has worked closely with communities and providers on safely easing in visitations for residents at nursing homes and long-term care facilities across Oklahoma," said Commissioner of Health Lance Frye. "Our mission is to support the mental health and quality of life for residents, while also taking into consideration the realities of COVID-19. We encourage families as they reunite with their loved ones to consider getting tested in advance and to wear masks for visitations and closely follow heightened protocols at the facilities."????All nursing and skill nursing facilities, assisted living, adult day care, residential care and intermediate care facilities for individuals with developmental or intellectual disabilities will be required to submit the following information to OSDH:???????? *?? The name, phone number and email of a licensed health care professional to serve as their infection????preventionist?????? *?? Evidence the infection preventionist completed a CDC training course?????? *?? A monitoring plan for the facility's infection surveillance, staff training and infection prevention?and???control???practices?The State is in the process of finalizing a grant program to use CARES Act funding for long-term care facilities to enhance infectious disease prevention and mitigation. Further details and application information will be released in the coming days.????????Virtual Spring Convention??????Continuing education available for licensed long-term care administrators?(27?hours of NAB approved)?and Certified Dietary Managers?(7.75 hours approved).??Sessions available for Administration, Nursing, Food Service, Environmental Services, MDS Coordinators, ICF-IID, and Home Care Administration.?????This virtual convention and trade show will be conducted the whole month of June.??IMPORTANT:?Please?login?on the LMS?(?)?using the same e-mail?address your redemption?code was sent to.?All?codes for those that registered have been issued.? If you have?not yet received your?code,?please contact?Natashia?Mason.?You will be able to watch recorded webinars and view vendor information at your leisure.? All webinars and quiz's must be completed, and payment received by July 15 or CEU’s will not be submitted.??We are excited to offer this FIRST EVER virtual convention and trade show and we look forward to receiving feedback.????????Register?for Virtual Spring Convention & Tradeshow?here???Each registrant will receive a FREE convention t-shirt! Additional t-shirts will be available for purchase for $15???????Vendors?of the Day??Today’s vendors?of the day?are:??Stride Bank?&?Sysco Oklahoma??Stride Bank?–?Founded in 1913, Stride Bank is an Oklahoma-based financial institution that holds over $800 million in assets. Offering a full range of financial services such as consumer and commercial banking, mortgage, wealth management, and treasury management, we have also developed and currently manage highly specialized payment solutions for several national fintech companies. While we are unwavering in our pursuit to continue innovating and offering new financial solutions, we will always remain loyal to our community banking roots in Oklahoma. We have branches throughout Oklahoma in Enid, Tulsa, Oklahoma City, Bartlesville, Blackwell, Woodward, and Mooreland.? Member FDIC. Equal Housing Lender. Learn more at ??Sysco?Oklahoma?-?Sysco Oklahoma was founded in 1990 when Sysco Corporation purchased?Scrivner?Foodservice in Oklahoma City.? Prior to 1990 Sysco serviced customers in the Oklahoma market using our Sysco distribution facilities from Kansas City and Dallas.? In 1991 Sysco moved its Oklahoma City operation to Norman where it operated for 11 years before moving to the current facility here in Norman in 2002.? In 2012 Sysco Oklahoma completed an expansion to the current building bringing our square footage to where it is today.? We employ over 320 employees throughout the state of Oklahoma who manage? 325,000 square feet of warehouse space and operate a fleet of over 90 trucks while distributing food, supplies and services to more than 2400 customers throughout the state of Oklahoma and the very Southwest portion of the state of Kansas.???GO VISIT, WATCH, LEARN, DISCUSS AND WIN!?Our Virtual Trade Show?also offers?information on products and services offered to the Long-Term Care Industry.? Our Business Associate Members and vendors?have?provided?information to our attendees via Company Promotional Videos, Podcast Interviews, Article submissions and more.?PLEASE?click on the different vendors and view their Videos –?Lots of great content!!!??We have gift cards that we will be awarding to attendees that visit the vendor “booths” during the Virtual Convention & Tradeshow,?watch the vendor videos?and engage with the vendors through the?discussion boards! The more vendors you visit, the more videos you watch,?the more you engage with the vendors?the better chance you?have to?win! The growth and development of our association would not be possible without partnerships with our valuable vendors.?We will begin?awarding gift cards?this week?-?Please visit the vendors,?watch the?videos,?and engage in the discussion boards!!!??????????Save Our Seniors?Oklahoma’s nursing homes are on the frontlines in the fight against COVID-19, but they?are not?receiving the support they need from our government.?Take action?today by clicking here (), contacting your lawmakers and supporting @OKHealthAction as they work to make sure help is on the way.?Save Oklahoma’s Seniors??CMS Issuing Citations and CMPs for Failure to Report COVID-19 Data?This week, CMS began issuing 2567s with F level citations for F884 with a $1,000 per instance civil monetary penalty (CMP). These are being issued to all SNFs identified by CMS from data transmitted by CDC as not having submitted data or submitting incomplete or otherwise erroneous data for the week of June 1 to June 7. The notifications of deficiency and CMP are being sent via the CASPER/QIES system (not the traditional method for notifying a facility with a deficiency). Thus, facilities must log in to CASPER to see if they have a citation or not. Your MDS coordinator will know how to access this system if you need help.??Relief Fund Portal for Medicaid Providers Launches?The U.S. Department of Health and Human Services (HHS) launched a web application portal for Medicaid providers other than SNF Medicaid providers. SNF Medicaid-only providers already should have received a Medicaid Allocation or will receive payments over the course of the week. The new?Provider Relief Fund Payment Portal?will initially be used for new submissions from Medicaid and Children’s Health Insurance Program (CHIP) providers seeking payments under the Provider Relief Fund including assisted living communities, ICFs/IID, and home and community-based providers.??HHS also as prepared?instructions?on how to complete the Medicaid Distribution and a downloadable PDF of the?application. The latter should be used a worksheet in conjunction with the instructions before entering data into the web portal. Ensuring accuracy of web portal data entry is important because once an application is submitted, it may?not?be modified.??Stimulus and Relief Funds Generated by the CARES Act?????Presented by Chris Murphy, CPA & Angie?Tye, CPA?????Date:?June 15, 2020?????Time:?3:30PM – 4:30PM CST?????Cost:?FREE?????Course Description:?????Stimulus and relief funds generated by the CARES Act have provided both welcome funding?and?significant anxiety for skilled nursing services providers (SNFs).? In this webinar, representatives from BKD will discuss two of the most common sources of COVID-19 funds: The Paycheck Protection Program (PPP) and the Public Health & Social Services Emergency Fund (PHSSEF).? For each program we will discuss the purpose of the funds received, attestation and reporting requirements.? Speakers will also recommend processes for estimating lost revenue, tracking COVID-related expenses, and matching those elements with funds received.?????Speakers:?????Chris Murphy?a member of BKD National Health Care Group primarily serves as a trusted advisor to health care providers, including post-acute care providers, nursing facilities and other senior services providers, home care agencies,?hospitals?and physicians.?While he currently focuses primarily on operational and Medicare and?Medicaid reimbursement consulting services, he has experience with financial statement audits,?accounting outsourcing services, Medicare and Medicaid compliance services and Medicaid rate setting. Most recently, Chris has been instrumental in BKD’s thought leadership surrounding Medicare’s Patient-Driven Payment Model (PDPM) which will replace a 20-year old payment system on October 1, 2019.? He has written articles, provided training to provider groups and developed tools to help skilled nursing services providers implement the new program.?????Angie?Tye?has more than 23 years of public accounting experience.? She provides tax planning,?compliance?and consulting services to a variety of businesses, primarily in the retail, manufacturing and energy industries, as well as high-wealth individuals.? Angie assists in the training and development of new BKD professionals. Prior to joining BKD, she performed tax accounting with a publicly traded bank for four years. Angie is a member of the American Institute of CPAs and Oklahoma Society of CPAs. She is a board member of Big Brothers Big Sisters of Oklahoma, participates with the Oklahoma Business Ethics Consortium and supports Tulsa Area United Way.? Angie was honored as one of 50 Making a Difference as part of The Journal Record’s Woman of the Year awards program and as a 2015 Woman of Distinction by Tulsa Business & Legal News.? She is a graduate of Leadership Tulsa Class 54. Angie is a graduate of Oklahoma State University, Stillwater, with an?M.Acc. degree and a B.S. degree in accounting.??????Register Here:? Insights: Achieve 5-Star in 2020???10-Part Webinar Series???#4 5-Star QM’s: Catheter, UTI???Presentation Date:?June 17, 2020 (#W2023)???Time:?1:30 P.M to 2:45 P.M. CST???Cost:?Member $56.65/Non-Member $113.30???**Facilities are allowed an unlimited number of participants but only 1 person may receive CE credit per registration Webinar payment is by credit card only and MUST be paid prior to the start of the webinar.???Presented By:?????Shelly?Maffia, MSN, MBA, RN, LNHA, QCP Director of Regulatory Services????Director of Regulatory Services for Proactive Medical Review & Consulting, with over 15 years of leadership and consulting experience, Shelly has held positions as DON, NHA, Corporate Nurse Consultant, and Training Positions. Currently Shelly provides consultation on regulatory compliance to nursing facilities in multiple states. Her expertise includes developing clinical training tools, policies, procedures, protocols and training programs on systems,?processes?and best practices. Shelly is also a QAPI Certified Professional (QCP) through the American Association of Nurse Assessment Coordinators.????Contact Person:????Shelly?Maffia?812-719-0452?smaffia@????Proactive Medical Review and Consulting????Natashia Mason 405-524-8338?natashia@????Care Providers Oklahoma???Course Description:?????This session will review the UTI and catheter insert/left in bladder quality measures that impact the Quality Measure component of the Nursing Home Compare Five-Star Quality Rating system. During the session, we will review how these measures are calculated and how they impact your overall Five-Star Quality Rating. The session will focus on best practices for reducing urinary tract infections and unnecessary catheter use in your facility and how to improve these measures using a QAPI framework with emphasis on reduction of common MDS coding errors and implementation of a facility specific Five Star road map action plan.??????Learning Objectives:???1. Understand how the UTI and catheter insert/left in bladder quality measure are calculated and impact the Five-Star Quality Rating score???2.Describe best practices for reducing UTIs and catheter use and improving your Five-Star Quality Rating score???3.Describe a process for establishing priority QAPI goals and actions to improve the UTIs and catheter insert/left in bladder quality measure???Course Content:????30 min Review of the UTI and catheter insert/left in bladder quality measures and impact on 5-Star Rating???Percent of residents with UTIs or catheters???Acceptable diagnoses for catheter use and effective documentation and monitoring of catheter use and care???Ensuring appropriate MDS coding per the RAI manual for UTI???Review of an antibiotic stewardship program to assure appropriate use of antibiotics???How to calculate UTI and catheter insert/left in bladder quality measure scores in the 5-Star Rating system???20 min?Best practices related to infection control and UTI prevention and the new?RoP?for infection control????20 min????Developing a QAPI plan based on antipsychotic medications quality measures data analysis???PIP Team???Establishing goals for implementation???Identification of tools for evaluating and monitoring compliance???Plan for monitoring compliance???Implementation of changes that will result in 5-Star improvement???5 min?Closing Comments/ Q&A????Target Audience:?????Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing staff and leaders, Quality Assurance Director, Social Services, Rehabilitation services????Instructional Level:????Intermediate Contact Hours: 1.25???CEU’s:?1.25 hours of continuing education for RCAL/NH/ADC Administrators. This program has been submitted for Continuing Education for 1.25 total participant hours by NAB/NCERS. Only those attending the entire call will be awarded education credit. Only 1 person may receive CE credit per registration. Proactive will submit CEU’s to NAB.???Refunds will only be given if Care Providers Oklahoma is notified prior to the start of the webinar.???Webinar registration may be transferred to another individual within the same organization.???ProActive?will submit CEU’s to NAB. Care Providers Oklahoma will NOT issue certificates of completion for the webinar. You may check your CEU’s through NAB.???REGISTER ON-LINE AT?WWW.WEBINARS??????Tellligen?LTC Office Hours with Dr. Alice Bonner from IHI???COVID-19 in LTC Office Hours / Thursday June 18th, 1pm MT/2pm CT???We are pleased to announce that Alice Bonner, PhD. from the Institute for Healthcare Improvement (IHI)will be presenting for?Telligen’s?interactive LTC Office Hours on?June 18th, 1pm MT/2pm CT.? Dr.?Bonner has been a geriatric nurse practitioner caring for older adults and their families for over 30 years. She is currently Adjunct Faculty and Director of Strategic Partnerships for the CAPABLE Program at the Johns Hopkins University School of Nursing and Senior Advisor for Aging at the Institute for Healthcare Improvement (IHI). Please join us to learn about Age Friendly Health?Systems,??an?initiative of?The John A. Hartford Foundation?and the Institute for Healthcare Improvement (IHI), in partnership with the?American Hospital Association (AHA)?and the?Catholic Health Association of the United States (CHA).?Dr. Bonner will share how?you can incorporate the evidence-based Age-Friendly Health System framework into your organization as it relates to the COVID-19 pandemic. She will also describe the weekday National Nursing Home Huddles – all are welcome to join!??Please?click here?to register.???????MDS 3.0 Basic with Care Planning???Care Providers Oklahoma will be offering a two-day Basic MDS workshop for?“NEW”?MDS coordinators to include instruction on Comprehensive Care Planning.??This 2-day training program has been approved by NAB for 10 total continuing education hours for licensed administrators – both days must be attended in full to receive?ceu’s.?????July 13 & 14, 2020 – Catoosa?(meeting location?changed)??(#6134)?Pharmcare?OK Tulsa – 2760 N. Hwy 167 (192nd Street turns into Hwy 167) - located off I-44 @Hard Rock Hotel & Casino exit then North approximately 2 miles.? CDC guidelines will be followed & mask are suggested.? Temperature check will be required upon entrance.? NAB #20210712-10-A62541-IN.????????Check-in:??8:30 to 9:00 a.m.???Class:??9:00 a.m. to 3:00 p.m.? (Attendance required both days)???Cost:?Enter?discount?code?CHECK3?when?registering?if paying by check.???$231.75 member????$334.75 non-member????LITE LUNCH PROVIDED????No personal checks.???????????Participants will acquire a general knowledge of:???MDS 3.0 User’s Manual???Regulations pertaining to the Minimum Data Set 3.0 and required procedures for?accurate completion???The MDS 3.0 forms,?formatting?and appropriate?use of the different item?subsets???Different assessment types?(OBRA and PPS) and requirements specific to each?type???Accurate assessment and coding for?MDS sections and items???The CAA(S), CAA?requirements and?incorporating CAA?information into a plan of?care???Care Planning???It is highly recommended to bring a?current RAI manual to class.???MDS 3.0 RAI User's Manual:??Go to??– Resident Assessment Instrument to download electronic version of the MDS 3.0 RAI User’s Manual or you may purchase the electronic version from AHCA by visiting?–Bookstore?.? Manuals will not be available on-site.????????Instructor:??Natashia Mason RN, RAC-CT, Director of Professional Development – Care Providers Oklahoma?LODGING:?Room reservations are the responsibility of?each individual.? Hotels in the Catoosa area:? Hampton Inn-918-739-3939; Fairfield Inn-918-739-4790; Catoosa Inn-918-739-3076; LaQuinta Inn-918-739-4600; Hard Rock Hotel & Casino-800-760-6700.???Register on-line at?Education???????PDPM???Care Providers Oklahoma will be offering a one-day workshop on PDPM.? The Patient Driven Payment Model (PDPM) improves payments made under the SNF PPS.? This 1-day training program has been approved by NAB for 4 total continuing education hours for licensed administrators – training must be attending in completion.??July 15, 2020 – Catoosa?(#6135)?(meeting location changed)??????Pharmcare?OK Tulsa – 2760 N. Hwy 167 (192nd Street turns into Hwy 167) - located off I-44 @Hard Rock Hotel & Casino exit then North approximately 2 miles.? CDC guidelines will be followed & mask are suggested.??Temperature check will be required upon entrance.? Seats are limited – register EARLY.?????????????????????????????????????NAB # 20210714-4-A67834-IN???Check-in:??8:30 to 9:00 a.m.????Class:? 9:00 a.m. to 2:00 p.m.?????Cost:?Enter?discount?code?CHECK3?when?registering if paying by check.??????$103.00 member????$206.00 non-member????LITE LUNCH PROVIDED????No personal checks.????????Participants will acquire a general knowledge of:?????What is new with PDPM in 2020????Interrupted Stay and Interim Payment Assessment?????Importance of Triple Check Meetings???Documentation to support PDPM Claims???And more…….???Instructor:? Terrie Gordon, RN, Director of Nursing Operations,?Pharmcare, Inc.?????Terrie Gordon, RN, has been in the Long-Term Care industry for 32 years; starting out as a certified nurse aide and working her way to the Director of Nursing position for over 13 years.? She has worked in many capacities and for the past 18 years has worked as a Nurse Consultant to several facilities in Oklahoma.? Terrie also provides DON, Charge Nurse, MDS/PPS, PDPM, CPR trainings along with several other educational classes.??????LODGING:?Room reservations are the responsibility of?each individual.? Hotels in the Catoosa area:? Hampton Inn - 918-739-3939; Fairfield Inn - 918-739-4790; Catoosa Inn - 918-739-3076; LaQuinta Inn - 918-739-4600; Hard Rock Hotel & Casino - 800-760-6700.??????REGISTER ON‐LINE AT?‐?EDUCATION?????ANTIBIOTIC STEWARDSHIP 2020???Antibiotics are the most frequently prescribed medication in nursing facilities, with up to 70%????of nursing home patients receiving one or more courses of antibiotics in a year. Serious effects are significant for frail and older adults including adverse drug events and interactions, colonization and resistance and serious diarrheal infections from Clostridium?difficle. Antibiotic stewardship is designed to improve antibiotic use?to?reduce adverse events, prevent emergence of resistance and lead to better outcomes. This 3‐hour educational training will cover the core elements of antibiotic stewardship for nursing homes which are: Leadership, Accountability, Drug expertise, Action, Tracking, Reporting and Education. In addition, Decision making tools, use of the SBAR, Assessment, and Antibiotic Alternatives will be explored in this educational opportunity.???REGISTER ON‐LINE AT:??WWW.EDUCATION???WHEN: July 28, 2020 – Catoosa?? #AS7????WHERE:??Catoosa?–?Pharmcare?OK Tulsa– 2760 N. Hwy 167 (192nd?Street turns info Hwy 167) – located off?????I‐44 @ Hard Rock Hotel & Casino exit then North approximately 2 miles.? CDC guidelines will be followed & mask are suggested.? Temperature checks will be required upon?entrance.??????CLASS:? 3‐hour training???Morning:?9:00?a.m. to?12:00?p.m.??/?Afternoon: 1:00 p.m. to 4:00 p.m.???CHECK‐IN: Morning: 8:30 a.m. to 9:00 a.m.?/?Afternoon: 12:30 p.m. to 1:00 p.m.????COST: $51.50 member / $154.50 non‐member????Cancellation?fee:? $15?m?/?$30?nm?????Enter discount code CHECK3 when registering if paying by check.?????Instructor:??Cathy Young ‐ R.N.‐BC, RAC‐ CT, Phoenix Healthcare LLC‐ Clinical Director??????????LEADERSHIP CONFERENCE?“GOING FOR THE GOLD 2020”?July 29, 2020?????Embassy Suites Downtown Medical Park –?OKC 741 North Phillips Avenue Oklahoma City, OK? 73104???CARE PROVIDERS OKLAHOMA MEMBERS:?Members?of Care Providers Oklahoma are invited to attend the Leadership Conference on July 29, 2020 in Oklahoma City at the Embassy Suites Oklahoma City Downtown Medical Center.????This meeting is open to all Care Providers Oklahoma MEMBERS providing long term care services in Oklahoma.? Care Providers Oklahoma member owners will receive 5 hours of FREE continuing education.? Administrators and staff may attend at a cost of $128.75 per person.??Care Providers Oklahoma Annual Member Business meeting will be conducted after the adjournment of conference.???????This program has been approved for Continuing Education for 5 total participant hours by NAB/NCERS—Approval # 20210330‐5‐A63524‐IN.??????WHEN:???July 29, 2020?????WHERE:??Embassy Suites Oklahoma City Downtown Medical Center????????741 North Phillips Avenue Oklahoma City, OK?73104??????????Young Ballroom????CHECK-IN:?8:00 to 9:00 a.m.?????MEETING:?9:00 a.m. to 4:00 p.m.????(Lunch provide and sponsored by American Health Advantage of Oklahoma)????COST:?$128.75 per person member?????FREE to Care Providers Oklahoma Member Owner’s?(registration required)??????Registration:?Deadline –?Wednesday, July 22 at 5:00 p.m.????Register on‐line at:?????events??????Hotel:?$135.00 plus tax?(Copy and paste link below in browser or control/click to follow link)?‐CPO‐20200330/index.jhtml?WT.mc_id=POG????Toll Free Reservations Line: 800‐445‐8667????On‐Property Reservations: 405‐239‐3900???Group Code: CPO?????Hotel reservation cut‐off:? Monday, July 6, 2020?????????2020?REMAINING In-Person Certified Medication Aide 8-hour update classes??Register/Pay at???A Certified Medication Aide shall renew certification every twelve (12) months. Recertification requires documentation of completion of at least eight (8) hours of continuing education every twelve (12) months, excluding the first year, after certification as a medication aide.? In addition, certification as a Long-Term Care Aide, Home Health Aide or Developmentally Disabled Direct Care Aide must be current.???????Care Providers Oklahoma?is sponsoring continuing education programs for 2020, approved by the Oklahoma State Department of Health, which will provide the required 8 hours necessary to renew the certification of CMA’s.??Diseases of the Body and Mind?will be the subject of discussion in 2020.? Pharmacist and Nurses will provide education to the CMA on diseases of the body and mind, including required training on Alzheimer’s/Dementia.? Other topics of interest will be provided as well.????CMA 8-HOUR UPDATE IN-PERSON TRAINING?CLASSES:??July 21 - Muskogee –?Muskogee Civic Center –425 Boston Street –Rm A/B (#5248)?NEW LOCATION??CDC guidelines will be followed & mask are required.? Temperature check will be required upon entrance.??July 24 - Ardmore?–Southern Oklahoma Technology Center 2610 Sam Noble Parkway Conference Room A??(#5252).???CDC guidelines will be followed & mask are required.? Temperature check will be required upon entrance.??August 7 – OKC –?Care Providers Oklahoma office-1201 N. Harvey Ave.?(#5249)??August 13 – Vinita –?Home of Hope Training Center-960 W. Hope Rd.?(#5250)??October 20 – Tulsa –?OSU Tulsa-700 N. Greenwood Ave.- North Hall Rm 153 (#5251)??December 4 – OKC –?Care Providers Oklahoma office-1201 N. Harvey Ave.?(#5253)???????????CHECK-IN:? 7:30 to 8:00 a.m.????CLASS:? 8:00 till 4:30 p.m.?????Participants must stay until end of class.???????NO ADMITTANCE after 8:15 a.m.??LUNCH:? 30 minutes (Boxed lunch provided)?????CLASS FEE: $56.65 per person including boxed lunch.????Registrant’s should bring to class:? PHOTO ID & SWEATER for comfort.?????Register/Pay on-line at????Continuing education certificate not provided until payment received.????Registration deadline is TWO working days before program. Seating is limited so register early.?????Cancellation policy located at .?Cancellations should be called into Care Providers Oklahoma office before day of class to receive credit – 405-524-8338.??NO-SHOWS will not receive any refund/credit.?Substitutions may be made with proper paperwork prior to class.? Facility check, credit card, money order or cash????Care Providers Oklahoma?-?CMA 8-hour Update class online!??????Care Providers Oklahoma is offering?on demand education?including the?CMA 8-hour update.? The?class is?$55. Simply login to? click Get Started to create an account - search for the course "CMA" to purchase and?complete anywhere - anytime.?????????? ................
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