Okla. Stat. tit. 36, § 36-6570.2
This is the official text of Okla. Stat. tit. 36, § 36-6570.2, part of Oklahoma’s Stat. tit. 36, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 36,." Browse the sections below, each linked to its official government source.
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Utilization review entities — Duties
Official statutory text
A utilization review entity shall make any current prior
authorization requirements and restrictions, including written
clinical criteria, readily accessible on its website to enrollees
and health care providers. Prior authorization requirements shall
be described in detail but also in easily understandable language.
If a utilization review entity intends either to implement a new
prior authorization requirement or restriction, or amend an existing
requirement or restriction, the utilization review entity shall
ensure that the new or amended requirement or restriction is not
implemented unless the utilization review entity's website has been
updated to reflect the new or amended requirement or restriction.
If a utilization review entity intends either to implement a new
prior authorization requirement or restriction, or amend an existing
requirement or restriction, the utilization review entity shall
Oklahoma Statutes - Title 36. Insurance Page 1310
provide contracted health care providers credentialed to perform the
service, or enrollees who have a chronic condition and are already
receiving the service for which the prior authorization changes will
impact, notice of the new or amended requirement or restriction no
less than sixty (60) days before the requirement or restriction is
implemented.
authorization requirements and restrictions, including written
clinical criteria, readily accessible on its website to enrollees
and health care providers. Prior authorization requirements shall
be described in detail but also in easily understandable language.
If a utilization review entity intends either to implement a new
prior authorization requirement or restriction, or amend an existing
requirement or restriction, the utilization review entity shall
ensure that the new or amended requirement or restriction is not
implemented unless the utilization review entity's website has been
updated to reflect the new or amended requirement or restriction.
If a utilization review entity intends either to implement a new
prior authorization requirement or restriction, or amend an existing
requirement or restriction, the utilization review entity shall
Oklahoma Statutes - Title 36. Insurance Page 1310
provide contracted health care providers credentialed to perform the
service, or enrollees who have a chronic condition and are already
receiving the service for which the prior authorization changes will
impact, notice of the new or amended requirement or restriction no
less than sixty (60) days before the requirement or restriction is
implemented.
Status: in_force · Read it on the official government site
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