SECTION 317:25-11-2. Requirements

(a)   The Health Management Program (HMP) is a voluntary program offered statewide and serves SoonerCare Choice members ages four (4) through sixty-three (63) with or at risk for chronic illness who are at the highest risk for adverse outcome and increased health care expenditures.

(b)   HMP services are grounded in motivational interviewing and evidence-based guidelines. The HMP services are designed by the HMP vendor and approved by the Oklahoma Health Care Authority (OHCA). The HMP vendor's activities may include services delivered directly to SoonerCare Choice members or activities in connection with health care providers that are designed to benefit SoonerCare Choice members. HMP activities/services can include:

(1)   Health coaching;

(2)   Practice facilitation;

(3)   Health navigation;

(4)   Performance improvement projects; and

(5)   Transition of care assistance.

[Source: Added at 37 Ok Reg 1471, eff 9-14-20]