Title 56 — Title 56 — Poor Persons

This act shall be known and may be cited as the "Oklahoma Medicaid Program Integrity Act". Added by Laws 1989, c. 220, § 1, operative July 1, 1989.

As used in the Oklahoma Medicaid Program Integrity Act: 1. "Authority" means the Oklahoma Health Care Authority; 2. "Attorney General" means the Attorney General of this state, his employees or his authorized representatives; 3. "Claim" means a communication, including written, e…

and authority - Attorney General's Medicaid Fraud Revolving Fund. A. There is hereby created within the Office of the Attorney General, a Medicaid fraud control unit. B. The Medicaid fraud control unit shall be the state entity to which all cases of suspected Medicaid fraud shall…

Provider's signed statement as to accuracy of reports, etc. - Maintenance of records - Access to records - Confidentiality of records and information - Disclosure - Liability. A. No potential Medicaid recipient shall be eligible for medical assistance unless such recipient has, i…

A. It shall be unlawful and deemed a Class D1 felony offense for any person to willfully and knowingly: 1. Make or cause to be made a claim, knowing the claim to be false, in whole or in part, by commission or omission; 2. Make or cause to be made a statement or representation fo…

A. As used in this section: 1. “Administrative sanction” means the court may enter an order making an individual who violates a provision of this section ineligible for assistance for a specified period of time. Such order shall be communicated to the Oklahoma Health Care Authori…

Act. This act shall be known and may be cited as the "Defunding Fetal-Body-Parts Trafficking Act". Added by Laws 2018, c. 202, § 1, eff. Nov. 1, 2018.

For purposes of this act: 1. "Provider" means a provider of services for compensation; 2. "Affiliate" means an entity which licenses the use of a trademark or other recognized name to the provider, and which exercises control over the use of part or all of the provider's name, or…

A. No provider shall be eligible for reimbursement through Medicaid or any other federal or state program or any other funding from any political subdivision of this state including but not limited to cities, towns, municipalities or counties, directly or by subcontract with any …

A. Any person found to have committed any violation of paragraphs 1 through 6 of subsection A of Section 1005 of this title shall be deemed guilty of Medicaid fraud. B. 1. Any person committing Medicaid fraud where the aggregate amount of payments illegally claimed or received is…

A. Any person who receives payment for furnishing goods or services under the Oklahoma Medicaid Program, which the person is not entitled to receive by reason of offenses under paragraphs 1 through 6 of subsection A of Section 1005 of this title, shall, in addition to any other p…

This act shall be known and may be cited as the "Defunding Statutory Rape Cover-up Act". Added by Laws 2019, c. 239, § 1, eff. Nov. 1, 2019.

As used in the Defunding Statutory Rape Cover-up Act: 1. "Provider" shall mean a provider of services for compensation; and 2. "Affiliate" shall mean an entity which licenses the use of a trademark or other recognized name to the provider, and which exercises control over the use…

report statutory rape. A. No provider shall be eligible for reimbursement through Medicaid or any other federal or state program, directly or by subcontract with any other party, if: 1. That provider, or any affiliate of that provider, has been found by a court of law, either civ…

The Oklahoma Health Care Authority shall promulgate rules to investigate complaints pursuant to the Defunding Statutory Rape Cover-up Act. Nothing in the Defunding Statutory Rape Cover-up Act shall preclude the Oklahoma Attorney General or any district attorney with jurisdiction …

The Attorney General shall submit an annual report, due by July 1 of each year, to the Speaker of the House of Representatives, the President Pro Tempore of the Senate, the Governor and the Secretary of State detailing the number of Medicaid fraud cases investigated and litigated…

A. Sections 1 and 2 of this act shall be known and may be cited as the “All Kids Act”. B. The Legislature finds that, for the economic and social benefit of all residents of the State of Oklahoma, it is important to enable all children of this state to access affordable health in…

Eligibility - Privately sponsored insurance - Partial coverage - Cost-sharing - Rules - Waivers - Funding. A. On or before January 1, 2011, the Oklahoma Health Care Authority shall establish and maintain a program with a voucher and/or other subsidy to provide medical coverage as…

2003 – Purpose - Coverage – Waivers - Health Employee and Economy Improvement Act (HEEIA) Revolving Fund. A. Section 1010.1 et seq. of this title shall be known and may be cited as the “Oklahoma Medicaid Program Reform Act of 2003”. B. Recognizing that many Oklahomans do not have…

2001.

Exemption from prior authorization procedures. Subject to the provisions of subsection B of Section 204 of Title 56 of the Oklahoma Statutes, effective September 1, 1998, children age eighteen (18) or younger may be prescribed non-sedating antihistamines under the state Medicaid …

A Medicaid beneficiary, including, but not limited to, a beneficiary currently enrolled in a fully or partially capitated managed care delivery model pursuant to the provisions of the Oklahoma Medicaid Healthcare Options System, who is not medically or legally competent may have …

56 O.S. § 1010.2 Repealed by Laws 2022, c. 395, § 25, eff. July 1, 2022

A. This act shall be known and may be cited as the “Oklahoma Pharmacy Connection Program”. B. Initial implementation of the program shall target senior citizens and shall utilize the existing toll-free Senior Info-Line telephone number for senior citizen services. C. The purpose …

Target population. A. The Department of Human Services shall establish a program through which health care providers and members of the public can obtain information about manufacturer-sponsored prescription drug assistance programs and shall provide such information to pharmacie…

56 O.S. § 1010.23 Repealed by Laws 2016, c. 46, § 1, eff. Nov. 1, 2016

56 O.S. § 1010.3 Repealed by Laws 2022, c. 395, § 25, eff. July 1, 2022

56 O.S. § 1010.4 Repealed by Laws 2022, c. 395, § 25, eff. July 1, 2022

56 O.S. § 1010.5 Repealed by Laws 2022, c. 395, § 25, eff. July 1, 2022

56 O.S. § 1010.6 Repealed by Laws 2003, c. 8, § 4, eff. July 1, 2003

56 O.S. § 1010.7 Repealed by Laws 2000, c. 251, § 4, eff. July 1, 2000

56 O.S. § 1010.7A Repealed by Laws 2007, c. 93, § 5, eff. Nov. 1, 2007

56 O.S. § 1010.8 Repealed by Laws 2022, c. 395, § 25, eff. July 1, 2022

There is hereby created in the State Treasury a revolving fund for the Oklahoma Health Care Authority to be designated the "Medicaid Health Improvement Revolving Fund". The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of all monies re…

Sections 1 through 10 of this act shall be known and cited as the “Oklahoma Medicaid Reform Act of 2006”. Added by Laws 2006, c. 315, § 1, emerg. eff. June 9, 2006.

university or college students. The Oklahoma Health Care Authority shall apply for any necessary waiver to extend health care benefits to persons up to the age of twenty-three (23) years if the person is enrolled as a full-time student in an accredited university or college in th…

Definition. A. The Oklahoma Health Care Authority shall develop and implement, as funds become available, a durable medical equipment retrieval program that will allow the Authority to: 1. Retrieve durable medical equipment, purchased with Medicaid funds, from the Medicaid consum…

behavior analysis treatment of autism spectrum disorder. A. The Oklahoma Health Care Authority, in conjunction with the Department of Mental Health and Substance Abuse Services, the State Department of Health and the State Department of Education shall examine the feasibility of …

Revolving Fund. A. There is hereby created in the State Treasury a revolving fund for the Oklahoma Health Care Authority to be designated the "Nursing Facility Supplemental Payment Program Revolving Fund". The fund shall be a continuing fund, not subject to fiscal year limitation…

The Oklahoma Health Care Authority shall promulgate administrative rules that govern the assessment of penalties and interest against any nonstate governmental organization that fails to timely pay the full amount of a quarterly intergovernmental transfer; provided, however, that…

A. The Oklahoma Health Care Authority (OHCA) shall seek Medicaid waiver authority to pursue modifications to Medicaid eligibility criteria so that receipt of SoonerCare coverage for certain Medicaid populations is conditional upon documentation of certain education, skills, train…

federal laws - Implementation of phase one of act - Independent evaluation - Purpose. A. The Oklahoma Health Care Authority is authorized to seek waivers and/or other federal authorizations to create a statewide program to provide for a more efficient and effective service delive…

A. As used in this act, "hospice care" means a comprehensive, holistic program of palliative and/or comfort care and support provided to the member and his or her family when a physician certifies that the member has a terminal illness and has a life expectancy of six (6) months …

Authority – Program opt-out option. A. The Oklahoma Health Care Authority shall have the following powers, duties, and responsibilities with respect to the development of the program established in Section 1011.2 of this title: 1. The consumer education component shall include th…

analysis - Electronic prescribing pilot program. A. The Oklahoma Health Care Authority shall conduct a needs analysis to design a database of clinical utilization information or electronic medical records for Medicaid providers. This system shall be web-based and allow providers …

A. 1. The Oklahoma Health Care Authority shall develop an incentive reimbursement rate plan for nursing facilities focused on improving resident outcomes and resident quality of life. 2. Under the current rate methodology, the Authority shall reserve Five Dollars ($5.00) per pati…

A. The Oklahoma Health Care Authority shall develop a formal program for disease management to improve the quality of care and reduce the cost of care. The Authority is authorized to contract for the development of the program if contracting is more cost effective to the state th…

The Oklahoma Health Care Authority shall develop and administer a plan for the implementation of alternatives for long-term care. The plan shall include, but not be limited to: 1. The continued development and funding of community-based options throughout the State of Oklahoma; 2…

lieu of emergency room services. A. The Oklahoma Health Care Authority and the State Department of Health, subject to the availability of funds, may develop and administer a program to encourage the timely and appropriate use of primary care services in lieu of emergency room uti…

Reporting of errors. A. 1. The Oklahoma Health Care Authority shall establish a method to deter abuse and reduce errors in Medicaid billing, payment, and eligibility through the use of technology and accountability measures for the Authority, providers, and consumers. The Authori…