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Bill > SB1564


OK SB1564

OK SB1564
Medicaid; requiring adoption of certain billing code for specified claims; requiring certain reimbursement. Effective date. Emergency.


summary

Introduced
02/02/2026
In Committee
02/16/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An Act relating to the state Medicaid program; requiring the Oklahoma Health Care Authority and contracted entities to adopt certain billing code for specified claims; requiring certain reimbursement; providing for codification; providing an effective date; and declaring an emergency.

AI Summary

This bill mandates that the Oklahoma Health Care Authority and any entities it contracts with must use a specific billing code, known as HCPCS code G0330, for claims related to facility fees for dental surgeries performed under general anesthesia in operating rooms, particularly for individuals with intellectual or developmental disabilities. The bill requires the Authority to set a reasonable reimbursement rate for these services that covers the actual cost of providing them, and all contracted entities must reimburse these claims at least at that established rate. This change is intended to ensure adequate payment for these specialized dental procedures and will take effect on July 1, 2026, with an emergency clause allowing it to be enacted immediately upon passage and approval.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (1)

Last Action

Referred to Appropriations (on 02/16/2026)

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