Bill > HB3699

This bill directs the Oklahoma Health Care Authority (OHCA), the state agency that administers Medicaid, to seek federal approval through waivers or state plan amendments to implement a new supplemental reimbursement rate for certain healthcare providers. This enhanced payment is intended to support physician practices, community health workers, and nonprofits participating in the patient-centered medical home program, which is a model of care focused on coordinating a child's health services. Specifically, the supplemental rate will be used to boost payments for wellness visits for children from birth to age four and to help these providers hire the necessary interdisciplinary staff to implement the program, including conducting screenings according to established guidelines like Bright Futures. Providers receiving this supplemental rate will be required to work with an entity that tracks data and outcomes to show they are adhering to evidence-based pediatric practice transformation models. The OHCA will also maintain an annual letter verifying each provider's active participation in such a model, and the supplemental rate will be periodically reviewed alongside other Medicaid physician service rates. The bill also mandates that the OHCA collaborate with pediatric health care experts to identify the most suitable team-based pediatric practice transformation models for the program. This act is set to become effective on November 1, 2026.

Budget and Finance, Health and Social Services

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb3699&Session=2600