Okla. Stat. tit. 56, § 56-1004
This is the official text of Okla. Stat. tit. 56, § 56-1004, part of Oklahoma’s Stat. tit. 56, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 56,." Browse the sections below, each linked to its official government source.
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Potential recipient's authorization to examine records -
Official statutory text
Provider's signed statement as to accuracy of reports, etc. -
Maintenance of records - Access to records - Confidentiality of
records and information - Disclosure - Liability.
Oklahoma Statutes - Title 56. Poor Persons Page 211
A. No potential Medicaid recipient shall be eligible for
medical assistance unless such recipient has, in writing, authorized
the Oklahoma Health Care Authority and the Attorney General to
examine all records maintained as required by the Oklahoma Medicaid
Program by the recipient, or of those receiving or having received
Medicaid benefits through the recipient, whether the receipt of such
benefits would be allowed by the Oklahoma Medicaid Program or not.
B. 1. Each application to participate as a provider in the
Oklahoma Medicaid Program, each report stating income or expense
upon which rates of payment are or may be based, and each invoice
for payment for a good or a service provided to recipient, shall
contain a statement that all matters stated therein are true and
accurate, signed by the provider or his or her agent. Any person
who signs this statement or causes another to sign this statement
knowing the statement to be false shall be guilty of perjury. For
purposes of this subsection, an individual who signs on behalf of a
provider shall be presumed to have the authorization of the provider
and to be acting at his or her direction.
2. All providers subject to the Oklahoma Medicaid Program are
required to maintain at their or its principal place of Medicaid
business all such records at least for a period of six (6) years
from the date of claimed provision of any goods or services to any
Medicaid recipient.
C. The Attorney General shall be allowed access to all records
of persons and Medicaid recipients under the Oklahoma Medicaid
Program which are held by a provider or the Oklahoma Health Care
Authority for the purpose of investigating whether any person may
have committed the crime of Medicaid fraud, or for use or potential
use in any legal, administrative, or judicial proceeding. In
carrying out the purposes of the Oklahoma Medicaid Program Integrity
Act, the Attorney General may take possession of records held by a
provider by subpoena, in which case copies of those records obtained
by the Attorney General which are necessary for the provider to
continue doing business shall be supplied to the provider, or the
Attorney General may elect to require that the provider supply the
Medicaid fraud control unit within the office of the Attorney
General with copies of the records. Upon request, the Attorney
General shall be granted access to records, including electronic
data, held by the Oklahoma Health Care Authority for the purpose of
investigating whether any person or entity may have committed the
crime of Medicaid fraud.
D. Records obtained or created by the Authority or the Attorney
General pursuant to the Oklahoma Medicaid Program Integrity Act
shall be classified as confidential information and shall not be
subject to the Oklahoma Open Records Act or to outside review or
release by any individual except, if authorized by the Attorney
Oklahoma Statutes - Title 56. Poor Persons Page 212
General, in relation to legal, administrative, or judicial
proceeding.
E. No person holding such records may refuse to provide the
Authority or the Attorney General with access to such records on the
basis that release would violate any recipient's right of privacy,
any recipient's privilege against disclosure or use, or any
professional or other privilege or right. The disclosure of patient
information as required by the Oklahoma Medicaid Program Integrity
Act shall not subject any physician or other health services
provider to liability for breach of any confidential relationship
between a patient and a provider.
Maintenance of records - Access to records - Confidentiality of
records and information - Disclosure - Liability.
Oklahoma Statutes - Title 56. Poor Persons Page 211
A. No potential Medicaid recipient shall be eligible for
medical assistance unless such recipient has, in writing, authorized
the Oklahoma Health Care Authority and the Attorney General to
examine all records maintained as required by the Oklahoma Medicaid
Program by the recipient, or of those receiving or having received
Medicaid benefits through the recipient, whether the receipt of such
benefits would be allowed by the Oklahoma Medicaid Program or not.
B. 1. Each application to participate as a provider in the
Oklahoma Medicaid Program, each report stating income or expense
upon which rates of payment are or may be based, and each invoice
for payment for a good or a service provided to recipient, shall
contain a statement that all matters stated therein are true and
accurate, signed by the provider or his or her agent. Any person
who signs this statement or causes another to sign this statement
knowing the statement to be false shall be guilty of perjury. For
purposes of this subsection, an individual who signs on behalf of a
provider shall be presumed to have the authorization of the provider
and to be acting at his or her direction.
2. All providers subject to the Oklahoma Medicaid Program are
required to maintain at their or its principal place of Medicaid
business all such records at least for a period of six (6) years
from the date of claimed provision of any goods or services to any
Medicaid recipient.
C. The Attorney General shall be allowed access to all records
of persons and Medicaid recipients under the Oklahoma Medicaid
Program which are held by a provider or the Oklahoma Health Care
Authority for the purpose of investigating whether any person may
have committed the crime of Medicaid fraud, or for use or potential
use in any legal, administrative, or judicial proceeding. In
carrying out the purposes of the Oklahoma Medicaid Program Integrity
Act, the Attorney General may take possession of records held by a
provider by subpoena, in which case copies of those records obtained
by the Attorney General which are necessary for the provider to
continue doing business shall be supplied to the provider, or the
Attorney General may elect to require that the provider supply the
Medicaid fraud control unit within the office of the Attorney
General with copies of the records. Upon request, the Attorney
General shall be granted access to records, including electronic
data, held by the Oklahoma Health Care Authority for the purpose of
investigating whether any person or entity may have committed the
crime of Medicaid fraud.
D. Records obtained or created by the Authority or the Attorney
General pursuant to the Oklahoma Medicaid Program Integrity Act
shall be classified as confidential information and shall not be
subject to the Oklahoma Open Records Act or to outside review or
release by any individual except, if authorized by the Attorney
Oklahoma Statutes - Title 56. Poor Persons Page 212
General, in relation to legal, administrative, or judicial
proceeding.
E. No person holding such records may refuse to provide the
Authority or the Attorney General with access to such records on the
basis that release would violate any recipient's right of privacy,
any recipient's privilege against disclosure or use, or any
professional or other privilege or right. The disclosure of patient
information as required by the Oklahoma Medicaid Program Integrity
Act shall not subject any physician or other health services
provider to liability for breach of any confidential relationship
between a patient and a provider.
Status: in_force · Read it on the official government site
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