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Oklahoma Home Care Administrator (OHCAPA) Exam Bank | 250 Accurate Real Exam Questions & Answers with Rationales | 2026 Latest Update | All Versions | Expert Verified

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This comprehensive resource provides 250+ accurate, real exam-style questions with detailed rationales, designed for candidates preparing for the Oklahoma Home Care Administrator Proficiency Assessment (OHCAPA) certification exam. It covers all major content areas required for Oklahoma home care administrator licensure, including state statutes, OSDH regulations, continuing education, personnel management, patient care, quality assurance, HIPAA, infection control, ethics, and emergency preparedness. Content Areas Covered: Statutory Authority & OSDH Jurisdiction Title 63 O.S. § 1-1962a (Oklahoma Home Care Act) OAC 310:664 (Home Care Administrator Registry) OSDH Health Resources Development Service (HRDS) Certification requirements, renewal, and revocation Unlicensed practice as a misdemeanor OHCAPA Examination & Licensure Exam format (multiple choice and multi-select) Core vs. Line of Service exams (Tier 1 Nursing Home, Tier 2 RCAL, Assistant Administrator) Time limits (4 hours, 90-day testing window) Application process and fees Preceptor approval and internship requirements NAB exam registration Continuing Education (CE) Requirements Annual CE hours (12 for Home Care Administrators, 16 for Tier 2, 24 for Tier 1 NHAs) Home study limits (no more than 6 of 12 hours) First-time renewal exemption July 31st deadline Approved CE providers (Relias Academy, CareAcademy) Administrator Responsibilities & Governing Body Governing body legal responsibility for administrator appointment Administrator duties: organizing functions, employing qualified personnel, ensuring accuracy of public information Alternate administrator designation Strategic planning (vision, mission, SWOT, measurable objectives) Organizational systems framework (inputs, outputs, environment, restraints) Financial management (budgeting, balance sheet, income statement, accounts receivable, benchmarking) Personnel Policies & Records Required personnel policies (employment procedures, orientation, job descriptions, evaluations, discipline) Health screening (TB testing per CDC guidelines) Influenza vaccination program (free onsite offer, declination forms) Personnel record retention (minimum 3 years) Progressive discipline Succession planning Contracted Services & Financial Requirements Written agreements for contracted services (nature/scope, coordination, plan of care) Verification of contractor personnel qualifications Annual operating budget (governing body approval, sufficient resources) Financial sustainability (revenue ≥ expenses, reserves) Variable vs. fixed costs Patient Care & Clinical Operations Plan of care (physician-ordered, reviewed every 60 days) Skilled services vs. personal care RN supervision of home health aides (75 hours minimum training) Clinical record content (assessments, plan of care, visit notes) Physician or supervising RN requirements (skilled care agencies: designated professional + alternate) Discharge criteria (goals met or physician order) Home safety assessment Quality Assurance & Risk Management Quarterly QA committee meetings Incident reporting (immediate documentation, DON + Administrator review) Critical incident telephone report to OSDH within 2 hours Quality improvement plan (goals, measurement, evaluation frequency) Benchmarking Patient satisfaction surveys Risk management (identify and reduce potential liability) HIPAA & Confidentiality Protected Health Information (PHI) Treatment, Payment, and Healthcare Operations (TPO) Notice of Privacy Practices (provided at first service delivery) Minimum necessary standard Patient access to records (within 30 days) Business Associate Agreements (BAAs) Privacy Officer designation Civil and criminal penalties for violations Safety, Infection Control & Emergency Preparedness Annual influenza vaccination program (free onsite offer, declination) TB testing per CDC guidelines Universal precautions (demonstrated through performance) Infection control training (orientation and annually) Emergency preparedness plan (written, reviewed annually, includes evacuation, communication, utility failures) Critical incident reporting (2 hours for life-threatening events) Bloodborne pathogens standard (Hepatitis B, PPE at no cost, needlestick reporting) Ethics, Client Rights & Abuse Reporting Patient rights (provided before or at admission) Mandatory reporting of abuse/neglect (immediately to Adult Protective Services or law enforcement) Advance directives (patient medical care preferences) Informed consent (risks, benefits, alternatives, understanding) Right to refuse treatment Access to medical records Grievance procedure General Operations & Strategic Management Annual policy review and update Orientation for all new employees and volunteers Mission statement (guides decision-making, aligns staff) Chart audits (documentation, compliance, outcomes) Legal liability (incomplete documentation, policy non-compliance) Governing body annual meetings with recorded minutes Designated alternate administrator Community engagement and referral relationships Maintenance and housekeeping in-service training (1 hour per quarter) Staff identification (name tags while on duty) Special Features: Multi-select questions (select all that apply) Rationale for every answer explaining not just what is correct but why Oklahoma-specific statutes and OAC references Real exam question format (multiple choice and multi-answer) Focus on regulatory compliance, patient safety, and administrative best practices Perfect for OHCAPA exam candidates, home care administrators, assisted living administrators, adult day care administrators, and long-term care professionals seeking Oklahoma licensure

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Oklahoma Home Care Administrator
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Oklahoma Home Care Administrator

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OKLAHOMA HOME CARE ADMINISTRATOR
(OHCAPA) EXAM BANK 250 ACCURATE REAL
EXAM QUESTIONS & ANSWERS With Rationales |
2026 Latest Update | All Versions | Expert Verified

SECTION 1: STATUTORY AUTHORITY & OSDH JURISDICTION (Q1–25)
1. Which agency is legally responsible for certifying home care administrators
in Oklahoma?
a) Oklahoma Board of Nursing
b) Oklahoma State Department of Health (OSDH)
c) Centers for Medicare & Medicaid Services (CMS)
d) Oklahoma Department of Human Services
Answer: b) OSDH
Rationale: Under Title 63 O.S. § 1-1962a(B), the Oklahoma State Department
of Health develops examination standards and issues certificates for home
care administrators .


2. (Multi-Answer) According to Title 63 O.S. § 1-1962a(A)(2), the standards
for home health agency administrator certification must ensure that
administrators:
a) Are of good character
b) Are suitable for the role
c) Have a medical degree
d) Are qualified by training or experience
Answer: a, b, d
Rationale: The statute explicitly requires that administrators be "of good
character and suitable, and who, by training or experience, are qualified to
serve." A medical degree is not required .

,2|Page




3. The OSDH Home Care Administrator Registry implements rules found in
which chapter of the Oklahoma Administrative Code?
a) OAC 310:664
b) OAC 310:662
c) OAC 310:679
d) OAC 310:600
Answer: a) OAC 310:664
Rationale: OAC 310:664 is the specific chapter governing Home Care
Administrator certification and the registry .


4. According to Title 63 O.S. § 1-1962a(D), acting as a home care agency
administrator without certification is:
a) A civil penalty only
b) Unlawful and a misdemeanor
c) Permitted for 90 days pending certification
d) A felony
Answer: b) Unlawful and a misdemeanor
Rationale: The statute states: "It shall be unlawful and a misdemeanor for
any person to act or serve in the capacity as a home care agency
administrator unless such individual is the holder of a certification" .


5. The Oklahoma Home Care Administrator Registry is managed under
which division of the OSDH?
a) Health Resources Development Service
b) Nursing Board of Licensure
c) State Workforce Commission
d) Department of Rehabilitation Services
Answer: a) Health Resources Development Service

,3|Page


Rationale: OSDH's Health Resources Development Service (HRDS)
administers the Home Care Administrator Registry and the OHCAPA
program .


6. A home care administrator in Oklahoma must ensure compliance with
both federal and state regulations. Which is a state statute specifically
applicable to home care?
a) HIPAA
b) The Oklahoma Home Care Act, Title 63 O.S.
c) The Affordable Care Act
d) The Medicare Conditions of Participation
Answer: b) The Oklahoma Home Care Act, Title 63 O.S.
Rationale: The Oklahoma Home Care Act under Title 63 of Oklahoma
Statutes applies specifically to home care administrator certification in
Oklahoma .


7. The OSDH Home Care Administrator Registry mission includes which of
the following?
a) Issue and renew home care administrator certificates
b) Maintain records on the HCA Registry
c) Provide direct patient care oversight
d) Ensure educational standards for preparedness programs
Answer: a, b, d
Rationale: Registry functions include issuing certificates, maintaining
records, and ensuring educational standards—not direct patient care .


8. What does "OHCAPA" stand for?
a) Oklahoma Health Care Administrator Professional Association
b) Oklahoma Home Care Administrator Proficiency Assessment

, 4|Page


c) Oklahoma Home Care and Placement Association
d) Oklahoma Health Center Administrator Program
Answer: b) Oklahoma Home Care Administrator Proficiency Assessment
Rationale: OHCAPA is the official name of the competency exam for home
care administrators in Oklahoma .


9. The OSDH may revoke or suspend certifications for which reasons?
a) Violation of state regulations
b) Fraud in obtaining certification
c) Gross negligence
d) All of the above
Answer: d) All of the above
Rationale: The Department may revoke or suspend certification for
violations, fraud, gross negligence, and failure to meet continuing education
requirements .


10. All Oklahoma long-term care administrator licenses expire annually on:
a) June 30th
b) September 30th
c) December 31st
d) March 31st
Answer: c) December 31st
Rationale: OSDH rules specify all licenses expire December 31st annually .


11. According to OAC 310:664-3-1, an individual is eligible to apply for a home
care administrator certificate by:
a) Completing a bachelor's degree in healthcare administration
b) Successfully completing a Department-approved preparedness program

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