Title 63 — Title 63 — Public Health and Safety
0 chapters · 1,231 sections in this title.
63 O.S. § 5023 Adjustment of per diem rate – Medicaid savings
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Effective January 1, 2000, and every January thereafter, the Oklahoma Health Care Authority will adjust the nursing facility per diem rate in an amount equal to the total amount of the savings to the Medicaid program as a result of the automatic cost-of-living adjustment on Socia…
63 O.S. § 5024 Incorporated physician providers – Income deferral
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programs. A. 1. Effective July 1, 2001, the Oklahoma Health Care Authority is authorized to offer to eligible contracted incorporated physician providers, elective income deferral programs which can result in federal income tax advantages and other advantages to such providers an…
63 O.S. § 5025 Reimbursement methodology - Established
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The Oklahoma Health Care Authority may establish, with available funds, a reimbursement methodology that will enhance the reimbursement for services provided to Medicaid beneficiaries in emergency hospitals in rural areas of the state. Added by Laws 2001, c. 317, § 2, eff. Nov. 1…
63 O.S. § 5026 Medicaid prescription drug program – Definition of
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phenylketonuria. A. The Oklahoma Health Care Authority Board shall, in administering the Medicaid prescription drug program, utilize the following definition for "phenylketonuria" to mean: An inborn error of metabolism attributable to a deficiency of or a defect in phenylalanine …
63 O.S. § 5026.1 Annual review of all medications and forms of treatment
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for sickle cell disease. A. The Oklahoma Health Care Authority shall conduct an annual review of all medications and forms of treatment for sickle cell disease and services for enrollees with a diagnosis of sickle cell disease. The purpose of the annual review is to determine if …
63 O.S. § 5027 Health care district
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A. As used in this section “health care district” means a subordinate health care entity that better promotes efficient administration of health care service delivery for counties with a population of one hundred thousand (100,000) or less to eligible persons in this state. B. A …
63 O.S. § 5028 Repealed by Laws 2022, c. 395, § 27, eff. July 1, 2022
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63 O.S. § 5028 Repealed by Laws 2022, c. 395, § 27, eff. July 1, 2022
63 O.S. § 5028.1 Request for information for care coordination models
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for newborns through children 18 years of age. A. The Oklahoma Health Care Authority, with assistance from the Department of Human Services and the Department of Mental Health and Substance Abuse Services, shall initiate a request for information for care coordination models for …
63 O.S. § 5029 Mailing information to victims of domestic violence
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A. The Oklahoma Health Care Authority shall coordinate with domestic violence sexual assault programs certified by the Office of the Attorney General who provide counseling services for victims of domestic violence to ensure that any information relating to billing or explanation…
63 O.S. § 5029.1 Medicaid reimbursement for accredited birthing centers
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A. As used in this section, “birthing center” has the same meaning as provided by Section 1-701 of Title 63 of the Oklahoma Statutes. B. The Oklahoma Health Care Authority shall seek federal approval to allow a birthing center that is not licensed by the state but has been accred…
63 O.S. § 5030.1 Medicaid Drug Utilization Review Board
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A. There is hereby created within the Oklahoma Health Care Authority the Medicaid Drug Utilization Review Board, which shall be responsible for the development, implementation and assessment of retrospective and prospective drug utilization programs under the direction of the Aut…
63 O.S. § 5030.2 Definitions
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As used in Sections 1 through 5 of this act: 1. “Compendia” means the “American Hospital Formulary Services Drug Information”, “U.S. Pharmacopoeia Drug Information”, peer- reviewed medical literature, other information provided by individuals involved in health care, and informat…
63 O.S. § 5030.3 Powers and duties of board
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A. The Medicaid Drug Utilization Review Board shall have the power and duty to: 1. Advise and make recommendations regarding rules promulgated by the Oklahoma Health Care Authority Board to implement the provisions of this act; 2. Oversee the development, implementation and asses…
63 O.S. § 5030.4 Drug utilization review program
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1. The Medicaid Drug Utilization Review Board shall develop and recommend to the Oklahoma Health Care Authority Board a retrospective and prospective drug utilization review program for medical outpatient drugs to ensure that prescriptions are appropriate, medically necessary, an…
63 O.S. § 5030.4A Disease state management programs – Feasibility study
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A. The Oklahoma Health Care Authority shall study the feasibility of implementing one or more disease state management programs. B. The components of the study shall include, but not be limited to: 1. A description and assessment of the findings, costs of the program, savings inc…
63 O.S. § 5030.5 Drug prior authorization program - Conditions
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A. Except as provided in subsection F of this section, any drug prior authorization program approved or implemented by the Medicaid Drug Utilization Review Board shall meet the following conditions: 1. The Medicaid Drug Utilization Review Board shall make note of and consider inf…
63 O.S. § 5031 Nonopioid drugs not to be disadvantaged or discouraged
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A. As used in this section, “contracted entity” has the same meaning as provided by Section 4002.2 of Title 56 of the Oklahoma Statutes. B. In establishing and maintaining the formulary for the state Medicaid program, the Oklahoma Health Care Authority shall ensure that no nonopi…
63 O.S. § 5051.1 Recovery from tortfeasors of amounts paid for medical
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expenses of injured and diseased persons - Liens or other legal action. A. 1. The payment of medical expenses by the Oklahoma Health Care Authority for or on behalf of or the receipt of medical assistance by a person who has been injured, passed away, or who has suffered a diseas…
63 O.S. § 5051.2 Right to reimbursement for medical services -
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Assignment to Oklahoma Health Care Authority. A. Whenever the Oklahoma Health Care Authority pays for medical services or renders medical services, for or on behalf of a person who has been injured or suffered an illness or disease, the right of the provider of the services to re…
63 O.S. § 5051.3 Medical assistance - Homestead lien
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A. Pursuant to the provisions of this section, the Oklahoma Health Care Authority is authorized to file and enforce a lien against the homestead of a recipient for payments of medical assistance made by the Authority to the recipient who is an inpatient of a nursing facility or a…
63 O.S. § 5051.4 Coverage under Medicaid Program Reform Act of 2003 -
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Enrollment fee and/or premium. The Oklahoma Health Care Authority is hereby authorized to charge an enrollment fee and/or premium for the provision of health care coverage under the Oklahoma Medicaid Program Reform Act of 2003. Such charges, if unpaid, create a debt to the state …
63 O.S. § 5051.5 Data files comparisons - File systems maintained by
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insurers - Exchange of information with Authority. A. 1. On or after November 1, 2003, any entity that provides health insurance in this state including, but not limited to, a licensed insurance company, not-for-profit hospital service, medical indemnity corporation, managed care…
63 O.S. § 5052 Opportunity for hearing before Authority - Record -
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Review by Administrator - Judicial review. A. Any applicant or recipient, adversely affected by a decision of the Oklahoma Health Care Authority on benefits or services provided pursuant to the provisions of this title, shall be afforded an opportunity for a hearing pursuant to t…
63 O.S. § 5053 Short title
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This act shall be known and may be cited as the "Oklahoma Medicaid False Claims Act". Added by Laws 2007, c. 137, § 1, eff. Nov. 1, 2007.
63 O.S. § 5053.1 Definitions - Civil penalty for false or fraudulent
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claims. A. For purposes of this section: 1. "Claim": a. means any request or demand for money or property, whether under a contract or otherwise and whether or not the state has title to the money or property, that: (1) is presented to an officer, employee or agent of the state, …
63 O.S. § 5053.2 Civil actions by Attorney General or individual persons
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authorized - Complaint procedure. A. The Attorney General shall diligently investigate a violation under the Oklahoma Medicaid False Claims Act. If the Attorney General finds that a person has violated or is violating the Oklahoma Medicaid False Claims Act, the Attorney General m…
63 O.S. § 5053.3 Actions brought by individuals - Participation by state
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- Procedure. A. If the state proceeds with the action pursuant to Section 5053.2 of this title, it shall have the primary responsibility for prosecuting the action, and shall not be bound by an act of the person bringing the action. Such person shall have the right to continue as…
63 O.S. § 5053.4 Actions brought by individuals - Share of proceeds of
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actions or settlement - Award of expenses, fees, and costs. A. 1. If the state proceeds with an action brought by a person under subsection B of Section 5053.2 of this title, the person shall, subject to paragraph 2 of this subsection, receive at least fifteen percent (15%) but n…
63 O.S. § 5053.5 Prohibition of certain individual actions - Dismissal -
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Liability for expenses or fees - Relief following adverse acts - Statute of limitations. A. In no event may a person bring an action under subsection B of Section 5053.2 of this title which is based upon allegations or transactions which are the subject of a civil suit or an admi…
63 O.S. § 5053.6 Service of subpoena - Limitation of actions - Burden of
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proof - Res judicata. A. A subpoena requiring the attendance of a witness at a trial or hearing conducted under the Oklahoma Medicaid False Claims Act may be served at any place in Oklahoma. B. A civil action under Section 5053.2 of this title may not be brought: 1. More than six…
63 O.S. § 5053.7 Jurisdiction
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A. Any action under Section 5053.2 of this title may be brought in any judicial district in which the defendant or, in the case of multiple defendants, any one defendant can be found, resides, transacts business, or in which any act proscribed by the Oklahoma Medicaid False Claim…
63 O.S. § 5054 State Medicaid program - Administrative sanctions
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A. The Oklahoma Health Care Authority may administer administrative sanctions to Medicaid recipients who abuse the state Medicaid program. B. Administrative sanctions shall not be administered by the Oklahoma Health Care Authority until notice and hearing have been provided to th…
63 O.S. § 5060 State Medicaid program not to contract with out-of-state
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providers. A. Where practicable and in accordance with state and federal law, the state Medicaid program shall not contract with an out-of- state medical provider for treatment that is available from one or more providers licensed and practicing in the State of Oklahoma. B. The O…
63 O.S. § 5061.1 I/T/U Shared Savings Program
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A. The purpose of this act is to maximize and direct the reinvestment of any savings to the Oklahoma Health Care Authority generated by enhanced federal matching authorized under Section 1905(b) of the Social Security Act at a rate of one hundred percent (100%) for covered servic…
63 O.S. § 5061.2 I/T/U Shared Savings Revolving Fund
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A. There is hereby created in the State Treasury a revolving fund for the Oklahoma Health Care Authority to be designated the "I/T/U Shared Savings Revolving Fund". The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of all monies receiv…
63 O.S. § 5071 Medicaid provider enrollment and credentialing process
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The Oklahoma Health Care Authority shall establish and maintain for providers of Medicaid services: 1. A provider enrollment and credentialing process for providers who receive fee-for-service reimbursement under the state Medicaid program; and 2. A single consolidated provider e…
63 O.S. § 535 Repealed by Laws 1963, c. 325, art. 17, § 1705, operative
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July 1, 1963.
63 O.S. § 536 Repealed by Laws 1963, c. 325, art. 17, § 1705, operative
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July 1, 1963.
63 O.S. § 537 Repealed by Laws 1963, c. 325, art. 17, § 1705, operative
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July 1, 1963.
63 O.S. § 538 Repealed by Laws 1963, c. 325, art. 17, § 1705, operative
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July 1, 1963.
63 O.S. § 6101 Short title
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This act may be cited as the “Catastrophic Health Emergency Powers Act”. Added by Laws 2003, c. 473, § 1.
63 O.S. § 6102 Legislative findings
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The Oklahoma Legislature finds that: 1. The government must do more to protect the health, safety, and general well-being of its citizens during a catastrophic health emergency; 2. New and emerging dangers, including emergent and resurgent infectious diseases and incidents of civ…
63 O.S. § 6103 Purposes
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The purposes of the Catastrophic Health Emergency Powers Act are: 1. To require the development of a comprehensive plan to provide for a coordinated, appropriate response in the event of a catastrophic health emergency; 2. To authorize the reporting and collection of data and rec…
63 O.S. § 6104 Definitions
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As used in the Catastrophic Health Emergency Powers Act: 1. “Bioterrorism” means the intentional use of any microorganism, virus, infectious substance, or biological product that may be engineered as a result of biotechnology, or any naturally occurring or bioengineered component…
63 O.S. § 6105 Repealed by Laws 2023, c. 207, § 2, eff. Nov. 1, 2023
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63 O.S. § 6105 Repealed by Laws 2023, c. 207, § 2, eff. Nov. 1, 2023
63 O.S. § 6301 Reports required from health care providers, coroners
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medical examiners, or pharmacists. A. A health care provider, coroner, or medical examiner shall report all cases of persons who harbor any illness or health condition that may be potential cause of a catastrophic health emergency. Reportable illnesses and health conditions inclu…
63 O.S. § 6302 Investigations – Identification of exposed individuals –
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Closing, evacuation, or decontamination of facilities – Decontamination or destruction of materials – Enforcement powers. A. The public health authority shall ascertain the existence of cases of an illness or health condition that may be potential causes of a catastrophic health …
63 O.S. § 6303 Reportable illnesses, health conditions, unusual
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clusters, or suspicious events – Duty to notify public health authorities – Sharing of information. A. Whenever the public safety authority or other state or local government agency learns of a case of a reportable illness or health condition, an unusual cluster, or a suspicious …
63 O.S. § 6401 Governor’s declaration
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A state of catastrophic health emergency may be declared by the Governor upon the occurrence of a "catastrophic health emergency" as defined in paragraph 2 of Section 4 of this act. Prior to such a declaration, the Governor shall consult with the public health authority and may c…
63 O.S. § 6402 Executive order
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A state of catastrophic health emergency shall be declared by an executive order that specifies: 1. The nature of the catastrophic health emergency; 2. The political subdivisions or geographic areas subject to the declaration; 3. The conditions that have brought about the catastr…