Okla. Stat. tit. 56, § 56-4002.3c
This is the official text of Okla. Stat. tit. 56, § 56-4002.3c, 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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Process for assignment of Medicaid members to
Official statutory text
contracted entities.
A. The Authority shall develop and implement a process for
assignment of Medicaid members to contracted entities.
Oklahoma Statutes - Title 56. Poor Persons Page 304
B. The Authority may only utilize an opt-in enrollment process
for the voluntary enrollment of American Indians and Alaska Natives.
Notwithstanding any other provision of this act, the Authority shall
comply with all Indian provisions associated with Medicaid managed
care including, but not limited to, the Social Security Act,
1932(a)(2)(C), the American Recovery and Reinvestment Act of 2009,
P.L. 111-5 (Feb. 17, 2009), Section 5006, the Children's Health
Insurance Program Reauthorization Act of 2009, P.L. 111-3 (Feb. 4,
2009), and the Centers for Medicare and Medicaid Services (CMS)
managed care protections, 25 C.F.R., 438.14.
C. In the event of the termination of a capitated contract with
a contracted entity during the contract duration, the Authority
shall reassign members to a remaining contracted entity with
demonstrated performance and capability. If no remaining contracted
entity is able to assume management for such members, the Authority
may select another contracted entity by application, as specified in
rules promulgated by the Oklahoma Health Care Authority Board, if
the financial, operation, and performance requirements can be met,
at the discretion of the Authority.
A. The Authority shall develop and implement a process for
assignment of Medicaid members to contracted entities.
Oklahoma Statutes - Title 56. Poor Persons Page 304
B. The Authority may only utilize an opt-in enrollment process
for the voluntary enrollment of American Indians and Alaska Natives.
Notwithstanding any other provision of this act, the Authority shall
comply with all Indian provisions associated with Medicaid managed
care including, but not limited to, the Social Security Act,
1932(a)(2)(C), the American Recovery and Reinvestment Act of 2009,
P.L. 111-5 (Feb. 17, 2009), Section 5006, the Children's Health
Insurance Program Reauthorization Act of 2009, P.L. 111-3 (Feb. 4,
2009), and the Centers for Medicare and Medicaid Services (CMS)
managed care protections, 25 C.F.R., 438.14.
C. In the event of the termination of a capitated contract with
a contracted entity during the contract duration, the Authority
shall reassign members to a remaining contracted entity with
demonstrated performance and capability. If no remaining contracted
entity is able to assume management for such members, the Authority
may select another contracted entity by application, as specified in
rules promulgated by the Oklahoma Health Care Authority Board, if
the financial, operation, and performance requirements can be met,
at the discretion of the Authority.
Status: in_force · Read it on the official government site
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