1. A. Sections 1010.1 through 1010.7 of this title shall be known and may be cited as the "Oklahoma Medicaid Healthcare Options Act".
2. B. In order to establish a coordinated approach to delivering and monitoring health care services and to ensure an efficient and appropriate level of quality health care services to eligible persons requiring such services, there is hereby established a statewide managed care system of comprehensive health care delivery through the Oklahoma Medicaid Program, which shall include, but not be limited to, prepaid capitated plans and primary case management plans, and which shall be offered in all geographic areas of the state.
3. C. Effective December 1, 1997, the Oklahoma Health Care Authority shall provide coverage under the state Medicaid program to children under the age of six (6) years whose family incomes do not exceed one hundred eighty-five percent (185%) of the federal poverty level. The Authority shall further provide coverage under the state Medicaid program to all children age six (6) years and older, whose family incomes do not exceed one hundred eighty-five percent (185%) of the federal poverty level, who are required to be covered at one hundred percent (100%) of the federal poverty level pursuant to federal requirements.

4. D.

   1. 1. The Authority shall establish a cost-sharing option for providing coverage under the state Medicaid program to low income families who do not receive cash assistance and whose incomes do not exceed two hundred fifty (250%) of the federal poverty level. Such option shall incorporate purchase of premiums on the basis of a sliding fee scale, provided that children and pregnant women who are otherwise eligible for Medicaid services shall not be required to purchase such premiums.
   2. 2. The Authority shall promulgate rules for establishing the cost-sharing option and the sliding fee scale pursuant to the provisions of this subsection.
   3. 3. The Authority shall implement such cost-sharing option on or before December 1, 1998.
5. E. The Authority shall promulgate rules establishing the amount of premium to be paid in areas of the state where services under the state Medicaid program are provided on a fee-for-service basis.
6. F. The Authority shall submit to the federal Health Care Financing Administration, on or before October 1, 1997, an application for any waivers required to amend the state Medicaid plan to enact the provisions of this subsection.

Laws 1993, SB 76, c. 336, § 1, emerg. eff. July 1, 1993; Amended by Laws 1997, SB 639, c. 421, § 1 (superseded document available).