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Bill > HB1091
OK HB1091
OK HB1091Medicaid; Ensuring Access to Medicaid Act; Oklahoma Health Care Authority; provider contracts; repealer; effective date.
summary
Introduced
02/01/2021
02/01/2021
In Committee
03/22/2021
03/22/2021
Crossed Over
03/15/2021
03/15/2021
Passed
Dead
05/27/2022
05/27/2022
Introduced Session
2021 Regular Session
Bill Summary
An Act relating to Medicaid; creating the Ensuring Access to Medicaid Act; recognizing certain statements; establishing conditions for Medicaid providers; requiring certain provisions for provider contracts entered into by the Oklahoma Health Care Authority; requiring certain time frames for claim processing; requiring timely authorizations for certain patients; requiring network contracts to be offered to certain providers; requiring certain provider payment rates; providing for credentialing and recredentialing; requiring certain fund disposition; providing for authorization requirements and time frames; repealing 56 O.S. 2011, Section 1010.2, which relates to definitions; repealing 56 O.S. 2011, Section 1010.3, which relates to establishment of the Oklahoma Medicaid Healthcare Options System; repealing 56 O.S. 2011, Section 1010.4, which relates to implementation of system; repealing 56 O.S. 2011, Section 1010.5, which relates to contract provisions; providing for codification; and providing an effective date.
AI Summary
This bill, titled the "Ensuring Access to Medicaid Act," establishes conditions for Medicaid providers in Oklahoma. It requires Medicaid managed care plans to have certain provisions in their provider contracts, such as timely claims processing, expedited authorization for certain patients, offering network contracts to essential community providers, maintaining payment rates at least equal to the state's Medicaid fee schedule, and following a consolidated credentialing process. The bill also mandates timely prior authorization review and determination, with specific time frames. Additionally, it repeals several existing laws related to the Oklahoma Medicaid Healthcare Options System and provides an effective date of November 1, 2021.
Committee Categories
Budget and Finance
Sponsors (8)
Carol Bush (R)*,
Chris Kidd (R)*,
Andy Fugate (D),
Marcus McEntire (R),
Anthony Moore (R),
Logan Phillips (R),
Melissa Provenzano (D),
John Talley (R),
Last Action
Coauthored by Representative McEntire (on 04/05/2021)
Official Document
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