Title 56 — Title 56 — Poor Persons
0 chapters · 607 sections in this title.
56 O.S. § 4002.3 Repealed by Laws 2022, c. 395, § 26, eff. July 1, 2022
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56 O.S. § 4002.3 Repealed by Laws 2022, c. 395, § 26, eff. July 1, 2022
56 O.S. § 4002.3a Capitated contracts with contracted entities for
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delivery of Medicaid services. A. 1. The Oklahoma Health Care Authority (OHCA) shall enter into capitated contracts with contracted entities for the delivery of Medicaid services as specified in the Ensuring Access to Medicaid Act to transform the delivery system of the state Med…
56 O.S. § 4002.3b Capitated contracts – Requests for proposals –
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Competitive bids. A. All capitated contracts shall be the result of requests for proposals issued by the Oklahoma Health Care Authority and submission of competitive bids by contracted entities pursuant to the Oklahoma Central Purchasing Act. B. Statewide capitated contracts may …
56 O.S. § 4002.3c Process for assignment of Medicaid members to
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contracted entities. A. The Authority shall develop and implement a process for assignment of Medicaid members to contracted entities. B. The Authority may only utilize an opt-in enrollment process for the voluntary enrollment of American Indians and Alaska Natives. Notwithstandi…
56 O.S. § 4002.3d Selection of primary care provider by members
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A. Every Medicaid member enrolled in a contracted entity shall have the right to select his or her primary care provider and to change his or her primary care provider at any time, as long as the selected primary care provider is a participating provider. Any parent or guardian o…
56 O.S. § 4002.4 Network adequacy standards for contracted entities
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A. The Oklahoma Health Care Authority shall develop network adequacy standards for all contracted entities that, at a minimum, meet the requirements of 42 C.F.R., Sections 438.3 and 438.68. Network adequacy standards established under this subsection shall include distance and ti…
56 O.S. § 4002.4a Standard contract terms
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A. 1. The Oklahoma Health Care Authority shall develop standard contract terms for contracted entities to include, but not be limited to, all requirements stipulated by this act. The Authority shall oversee and monitor performance of contracted entities and shall enforce the term…
56 O.S. § 4002.5 Contracted entity responsibilities — Certificate of
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authority required. A. A contracted entity shall be responsible for all administrative functions for members enrolled in its plan including, but not limited to, claims processing, authorization of health services, care and case management, grievances and appeals, and other necess…
56 O.S. § 4002.6 Requirements for prior authorizations
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A. A contracted entity shall meet all requirements established by this section pertaining to prior authorizations. To the extent a contracted entity uses a third-party utilization review entity to administer prior authorizations on its behalf, the utilization review entity shall …
56 O.S. § 4002.7 Requirements for processing and adjudicating claims
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A. The Oklahoma Health Care Authority shall establish requirements for fair processing and adjudication of claims that ensure prompt reimbursement of providers by contracted entities. A contracted entity shall comply with all such requirements. B. A contracted entity shall proces…
56 O.S. § 4002.8 Uniform procedures for review and appeal for adverse
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determinations. A. A contracted entity shall utilize uniform procedures established by the Authority under subsection B of this section for the review and appeal of any adverse determination by the contracted entity sought by any member or provider adversely affected by such dete…
56 O.S. § 4002.9 Repealed by Laws 2022, c. 395, § 26, eff. July 1, 2022
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56 O.S. § 4002.9 Repealed by Laws 2022, c. 395, § 26, eff. July 1, 2022
56 O.S. § 4003 Biomarker testing coverage
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A. As used in this section: 1. "Biomarker", "biomarker testing", "consensus statement", and "nationally recognized clinical practice guidelines" shall have the same meaning as provided by Section 1 of this act; and 2. "Contracted entity" shall have the same meaning as provided by…
56 O.S. § 4004 Renumbered as § 4002.15 of this title by Laws 2022, c
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395, § 24, eff. July 1, 2022.
56 O.S. § 4005 Rapid whole genome sequencing coverage
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A. For purposes of this section, "rapid whole genome sequencing" is defined as an investigation of the entire human genome, including coding and non-coding regions and mitochondrial deoxyribonucleic acid, to identify disease-causing genetic changes that returns the preliminary po…
56 O.S. § 4006 Mental health and substance use disorder coverage —
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Parity analysis. A. For Medicaid managed care plans, the Oklahoma Health Care Authority shall ensure that the insurers, health plans, and managed care plans comply with federal and state laws, rules, and regulations applicable to coverage for mental health or substance use disord…
56 O.S. § 401 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 401 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 402 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 402 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 403 Repealed by Laws 1986, c. 247, § 34, emerg. eff. June 13
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1986.
56 O.S. § 404 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 404 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 405 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 405 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 406 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 406 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 407 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 407 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 408 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 408 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 409 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 409 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 41 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 41 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 410 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 410 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 411 Deceased child or retarded person - Funeral arrangements
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and expenses. A. Except as otherwise provided by subsection B of this section, the Department of Human Services is authorized to make the necessary funeral arrangements and pay any reasonable burial expenses incurred upon the death of a child or an individual with intellectual di…
56 O.S. § 412 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
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56 O.S. § 412 Repealed by Laws 1993, c. 330, § 32, eff. July 1, 1993
56 O.S. § 412.1 Renumbered as § 3221.1 of Title 63 by Laws 1994, c. 283
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§ 21, eff. Sept. 1, 1994.
56 O.S. § 413 Repealed by Laws 1995, c. 263, § 9
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56 O.S. § 413 Repealed by Laws 1995, c. 263, § 9
56 O.S. § 42 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 42 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 43 Repealed by Laws 1994, c. 87, § 31, eff. Sept. 1, 1994
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56 O.S. § 43 Repealed by Laws 1994, c. 87, § 31, eff. Sept. 1, 1994
56 O.S. § 44 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 44 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 45 Repealed by Laws 1994, c. 87, § 31, eff. Sept. 1, 1994
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56 O.S. § 45 Repealed by Laws 1994, c. 87, § 31, eff. Sept. 1, 1994
56 O.S. § 46 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 46 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 47 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 47 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 48 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 48 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 49 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 49 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 50 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 50 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 501 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 501 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
56 O.S. § 504 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 504 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
56 O.S. § 504.1 Renumbered as § 5030.1 of Title 63 by Laws 1996, c. 221
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§ 7, eff. Nov. 1, 1996.
56 O.S. § 505 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 505 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
56 O.S. § 506 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 506 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
56 O.S. § 507 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 507 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
56 O.S. § 508 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 508 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
56 O.S. § 509 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 509 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
56 O.S. § 51 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
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56 O.S. § 51 Repealed by Laws 2024, c. 179, § 1, eff. Nov. 1, 2024
56 O.S. § 510 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997
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56 O.S. § 510 Repealed by Laws 1997, c. 414, § 30, eff. Sept. 1, 1997