Okla. Stat. tit. 56, ch. 23 – Ensuring Access to Medicaid Act | Midpage

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Okla. Stat. tit. 56, ch. 23

Ensuring Access to Medicaid Act

4002.1aIntent 4002.2Definitions 4002.3aCapitated Contracts for Delivery of Medicaid Services - Request for Proposals - Confirmation from Centers for Medicare and Medicaid Services 4002.3bCapitated Contracts - Requirements 4002.3cAssignment of Medicaid Members to Contracted Entities - Opt-in Enrollment for American Indians and Alaska Natives 4002.3dRight to Select Primary Care Provider - Assignment of Primary Care Provider 4002.4Network Adequacy Standards 4002.4aStandard Contract Terms - Oversee and Monitor Performance - Fraud, Waste, and Abuse - Report Violations 4002.5Administrative Functions - Certificate of Authority - Shared Governance - Requirements 4002.6Prior Authorizations - Requirements 4002.8Adverse Determinations - Procedures 4002.10Readiness Reviews 4002.11Scorecard 4002.12Minimum Rates of Reimbursement - Value-Based Payment Arrangements - Required Payment Methodologies 4002.12aDental Benefit Managers - Medicaid Dental Advisory Committee - Dental Benefit Manager not Required 4002.12bSustainability of the Transformed Medicaid Delivery System - Reports 4002.13Medicaid Delivery System Quality Advisory Committee - Purpose, Duties, Membership, Meetings, and Staff Support 4002.14Uniform Defined Measures and Goals - Quality Metrics - Measures for Outcomes and Quality - Accountability Measures 4002.15Implementation of this Act - Federal Approval - Rules 4003Coverage - Biomarker Testing 4005Rapid Whole Genome Sequencing - Oklahoma Health Care Authority Coverage - Implementation 4006Medicaid Parity - Coverage of Mental Health and Substance Use Disorders - Contract Compliance and Noncompliance Reviews - Complaints - Publication of Reports