Bill > HB2065

This bill requires the Oklahoma Health Care Authority to reimburse healthcare providers for specific multiplex respiratory PCR (polymerase chain reaction) testing procedures using Current Procedural Terminology (CPT) codes 87636 and 87637 under the Oklahoma Medicaid program. These tests will be covered specifically for symptomatic patients in emergency room and urgent care settings, and are designed to diagnose multiple respiratory illnesses simultaneously, including COVID-19, influenza A and B, and respiratory syncytial virus (RSV). The bill aims to support clinical best practices by ensuring that healthcare providers can be reimbursed for comprehensive respiratory testing that helps quickly and accurately identify the specific illness affecting a patient. The legislation will become effective on November 1, 2025, giving healthcare providers and the Medicaid system time to prepare for and implement these new reimbursement guidelines.

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb2065&Session=2600