Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 310. Oklahoma State Department of Health |
Chapter 659. Health Maintenance Organizations |
Subchapter 1. General Provisions |
SECTION 310:659-1-6. Managed care referral and non-formulary drugs
Latest version.
- Each HMO shall be considered a managed care entity for the purposes of 63 O.S. Sections 2550.1, 2550.2, and 2550.4. Each HMO's quality assurance program shall ensure compliance with the requirements applicable to managed care plans for referrals to specialists and approvals of non-formulary or prior-authorized drugs.