General Scope and Administration | Midpage

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Oklahoma Administrative Code

Part 1

General Scope and Administration

Oklahoma Health Care Authority

317:30-3-1Creation and implementation of rules; applicability 317:30-3-2Provider agreements 317:30-3-2.1Program Integrity Audits/Reviews 317:30-3-3Group billings 317:30-3-4Electronic fund transfer/direct deposit 317:30-3-4.1Uniform Electronic Transaction Act 317:30-3-5Assignment and cost sharing 317:30-3-5.1Usual and customary fees 317:30-3-6Utilization review for physician/hospital services 317:30-3-8Pre-billing 317:30-3-10Sales tax 317:30-3-11Timely filing limitation 317:30-3-11.1Resolution of claim payment 317:30-3-12Credits and adjustments 317:30-3-13Advance directives 317:30-3-14Freedom of choice 317:30-3-15Record retention 317:30-3-16Release of medical records 317:30-3-17Discrimination laws 317:30-3-18Criminal penalties 317:30-3-19.2Denial of application for new or renewed provider enrollment contract based on criminal history 317:30-3-19.3Denial of application for new or renewed provider enrollment contract 317:30-3-19.4Application fee, provider screening, and applicants subject to a fingerprint-based criminal background check 317:30-3-19.5Termination of provider agreements 317:30-3-19.6Complaints related to the Defunding Statutory Rape Cover-up Act 317:30-3-20Claim inquiry procedures (excluding nursing homes and hospitals)317:30-3-21Appeals procedures for nursing facilities 317:30-3-23Reconsideration request 317:30-3-24Third party liability 317:30-3-25Crossovers (deductibles, coinsurance, and copays)317:30-3-27Telehealth 317:30-3-27.1Audio-only health service delivery 317:30-3-28Oklahoma Electronic Health Records Incentive Program 317:30-3-29Revisions of provider fee schedules 317:30-3-30Signature requirements 317:30-3-31Prior authorization for health care-related goods and services 317:30-3-32Retrospective review for payment for services to certain aliens 317:30-3-33Suspended claims review and/or prepayment review 317:30-3-34Electronic visit verification (EVV) system 317:30-3-35Oklahoma State Health Information Network and Exchange (OKSHINE)