Okla. Stat. tit. 36, § 36-6570.57
This is the official text of Okla. Stat. tit. 36, § 36-6570.57, 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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Continuity of prior authorizations during health plan
Official statutory text
changes.
Oklahoma Statutes - Title 36. Insurance Page 1321
A. On receipt of information documenting a prior authorization
from the enrollee or from the enrollee's health care provider, a
utilization review entity shall honor a prior authorization granted
to an enrollee from a previous utilization review entity for at
least the initial sixty (60) days of an enrollee's coverage under a
new health plan.
B. During the time period described in subsection A of this
section, a utilization review entity may perform its own review to
grant a prior authorization or make an adverse determination.
C. A utilization review entity shall continue to honor a prior
authorization it has granted to an enrollee when the enrollee
changes products under the same health insurance company for the
initial sixty (60) days of an enrollee's coverage under the new
product unless the service is no longer a covered service under the
new product.
D. During the time period described in subsection C of this
section, a utilization review entity may simultaneously perform a
review to grant a prior authorization or to make an adverse
determination.
E. Provided the provisions of this section do not violate any
applicable law, regulation, or the Oklahoma Medicaid State Plan.
Oklahoma Statutes - Title 36. Insurance Page 1321
A. On receipt of information documenting a prior authorization
from the enrollee or from the enrollee's health care provider, a
utilization review entity shall honor a prior authorization granted
to an enrollee from a previous utilization review entity for at
least the initial sixty (60) days of an enrollee's coverage under a
new health plan.
B. During the time period described in subsection A of this
section, a utilization review entity may perform its own review to
grant a prior authorization or make an adverse determination.
C. A utilization review entity shall continue to honor a prior
authorization it has granted to an enrollee when the enrollee
changes products under the same health insurance company for the
initial sixty (60) days of an enrollee's coverage under the new
product unless the service is no longer a covered service under the
new product.
D. During the time period described in subsection C of this
section, a utilization review entity may simultaneously perform a
review to grant a prior authorization or to make an adverse
determination.
E. Provided the provisions of this section do not violate any
applicable law, regulation, or the Oklahoma Medicaid State Plan.
Status: in_force · Read it on the official government site
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