Okla. Stat. tit. 63, § 63-2565
This is the official text of Okla. Stat. tit. 63, § 63-2565, part of Oklahoma’s Stat. tit. 63, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 63,." Browse the sections below, each linked to its official government source.
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Consultations with advocacy groups required – Process to
Official statutory text
ensure stakeholder engagement and transparency – Research and
analysis methods.
A. Any agency making decisions on utilization management
measures, coverage, reimbursement or incentive programs shall be
required to consult with:
1. Organizations representing patients and people with
disabilities, including both self-advocacy organizations and
organizations representing patients, prior to proceeding on any
measure likely to impact the relevant patient or disability
community; and
2. Organizations representing patients and people that advocate
for the rights of patients to obtain treatment without regard to the
patients' quality of life and representatives of organizations that
advocate for the rights of older persons to receive health care.
B. Any agency making decisions on utilization management
measures, coverage, reimbursement or incentive programs shall ensure
that a process is in place to ensure robust stakeholder engagement
and full transparency surrounding the provision of any research and
analysis relied upon for decision-making that would impact access to
health care treatments and services by patient groups provided for
in subsection A of this section, including:
Oklahoma Statutes - Title 63. Public Health and Safety Page 1407
1. Providing stakeholders with meaningful notice and
opportunity to comment on the retention of any vendor providing
research and analysis to the agency;
2. Subjecting research and analysis relied upon by an agency to
meaningful notice and comment process;
3. Ensuring deliberation around the coverage or reimbursement
for health care treatments and services occurs in open meetings;
4. Presenting and releasing any research and analysis relied
upon for decision-making in public meetings or publicly released
prior to deliberation;
5. Requiring full disclosure into funding sources and conflicts
of interest of any third party providing research and analysis to
the state;
6. Prohibiting sole-source contracts for research and analysis
to ensure reliance on a range of evidence; and
7. Preparing an annual report assessing beneficiary access to
health care treatments and services. The report shall assess the
impact of any form of utilization management on access to care with
a specific analysis of the impact on persons with disabilities,
chronic illness and advanced age. The report shall be submitted to
the State Legislature, be posted on the state Medicaid website, and
the agency shall provide an opportunity for public comment.
C. Any research and analysis relied upon for decision-making
that would impact coverage and access to health care treatments and
services shall measure outcomes prioritized by patients and persons
with disabilities as required by this section, as well as consider
meaningful differences in the characteristics, needs and preferences
of patients and persons with disabilities.
analysis methods.
A. Any agency making decisions on utilization management
measures, coverage, reimbursement or incentive programs shall be
required to consult with:
1. Organizations representing patients and people with
disabilities, including both self-advocacy organizations and
organizations representing patients, prior to proceeding on any
measure likely to impact the relevant patient or disability
community; and
2. Organizations representing patients and people that advocate
for the rights of patients to obtain treatment without regard to the
patients' quality of life and representatives of organizations that
advocate for the rights of older persons to receive health care.
B. Any agency making decisions on utilization management
measures, coverage, reimbursement or incentive programs shall ensure
that a process is in place to ensure robust stakeholder engagement
and full transparency surrounding the provision of any research and
analysis relied upon for decision-making that would impact access to
health care treatments and services by patient groups provided for
in subsection A of this section, including:
Oklahoma Statutes - Title 63. Public Health and Safety Page 1407
1. Providing stakeholders with meaningful notice and
opportunity to comment on the retention of any vendor providing
research and analysis to the agency;
2. Subjecting research and analysis relied upon by an agency to
meaningful notice and comment process;
3. Ensuring deliberation around the coverage or reimbursement
for health care treatments and services occurs in open meetings;
4. Presenting and releasing any research and analysis relied
upon for decision-making in public meetings or publicly released
prior to deliberation;
5. Requiring full disclosure into funding sources and conflicts
of interest of any third party providing research and analysis to
the state;
6. Prohibiting sole-source contracts for research and analysis
to ensure reliance on a range of evidence; and
7. Preparing an annual report assessing beneficiary access to
health care treatments and services. The report shall assess the
impact of any form of utilization management on access to care with
a specific analysis of the impact on persons with disabilities,
chronic illness and advanced age. The report shall be submitted to
the State Legislature, be posted on the state Medicaid website, and
the agency shall provide an opportunity for public comment.
C. Any research and analysis relied upon for decision-making
that would impact coverage and access to health care treatments and
services shall measure outcomes prioritized by patients and persons
with disabilities as required by this section, as well as consider
meaningful differences in the characteristics, needs and preferences
of patients and persons with disabilities.
Status: in_force · Read it on the official government site
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