§56-4002.1a. Legislative intent.
It is the intent of the Legislature to transform the state’s current Medicaid program to provide budget predictability for the taxpayers of this state while ensuring quality care to those in need. The state Medicaid program shall be designed to achieve the following goals: 1. Improve health outcomes for Medicaid members and the state as […]
§56-1025.1. Definitions.
For the purposes of Sections 1025.2 through 1025.4 of this title: 1. “Administrative information” means information reported to or obtained by the Department of Human Services regarding the community services provider during the investigative process that may be appropriate for internal administrative action but does not have the potential to impact the immediate health, safety […]
§56-3002.5. Oklahoma Options Counseling for Long-term Care Program Act.
This act shall be known and may be cited as the “Oklahoma Options Counseling for Long-term Care Program Act”. Added by Laws 2011, c. 144, § 1, eff. Nov. 1, 2011.
§56-4002.2. Definitions.
As used in the Ensuring Access to Medicaid Act: 1. “Adverse determination” has the same meaning as provided by Section 6475.3 of Title 36 of the Oklahoma Statutes; 2. “Accountable care organization” means a network of physicians, hospitals, and other health care providers that provides coordinated care to Medicaid members; 3. “Claims denial error rate” […]
§56-1025.2. Criminal history records searches on community services worker applicants, Medicaid personal care assistants and contractors.
A. 1. Except as otherwise provided by subsection C of this section, before any community services provider or Medicaid personal care services provider makes an offer to employ or to contract with a community services worker applicant or a Medicaid personal care assistant applicant to provide health-related services, training, or supportive assistance to a person […]
§56-3002.6. Legislative findings.
The Oklahoma Legislature finds that access to information regarding all components of a long-term care support system is necessary to empower the elderly and persons with disabilities in planning, evaluating, and making decisions to meet their individual long-term care support needs appropriately. This access to information shall be provided through the Options Counseling for Long-term […]
§56-4002.3a. Capitated contracts with contracted entities for delivery of Medicaid services.
A. 1. The Oklahoma Health Care Authority (OHCA) shall enter into capitated contracts with contracted entities for the delivery of Medicaid services as specified in this act to transform the delivery system of the state Medicaid program for the Medicaid populations listed in this section. 2. Unless expressly authorized by the Legislature, the Authority shall […]
§56-1025.3. Community services worker registry.
A. The Director of the Department of Human Services shall promulgate rules to establish and maintain a community services worker registry. Such rules may include, but need not be limited to: 1. A procedure for notation in such registry of a final Department of Human Services investigative finding or a finding by an Administrative Law […]
§56-3002.7. Definitions – Options Counseling for Long-term Care Program – Consultation.
A. As used in the Oklahoma Options Counseling for Long-term Care Program Act: 1. “Long-term care facility” means a nursing facility or assisted living facility; 2. “Options counseling for long-term care” means the process of providing services pursuant to the Oklahoma Options Counseling for Long-term Care Program within the Aging and Disability Resource Consortium (ADRC); […]
§56-4002.3b. Capitated contracts – Requests for proposals – Competitive bids.
A. All capitated contracts shall be the result of requests for proposals issued by the Oklahoma Health Care Authority and submission of competitive bids by contracted entities pursuant to the Oklahoma Central Purchasing Act. B. Statewide capitated contracts may be awarded to any contracted entity including, but not limited to, a provider-led entity. C. The […]