Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 317. Oklahoma Health Care Authority |
Chapter 30. Medical Providers-Fee for Service |
Subchapter 3. General Provider Policies |
Part 1. GENERAL SCOPE AND ADMINISTRATION |
SECTION 317:30-3-1. Creation and implementation of rules; applicability |
SECTION 317:30-3-2. Provider agreements |
SECTION 317:30-3-2.1. Program Integrity Audits/Reviews |
SECTION 317:30-3-3. Group billings |
SECTION 317:30-3-3.1. Medicaid Income Deferral Program |
SECTION 317:30-3-4. Electronic fund transfer/direct deposit |
SECTION 317:30-3-4.1. Uniform Electronic Transaction Act |
SECTION 317:30-3-5. Assignment and cost sharing |
SECTION 317:30-3-5.1. Usual and customary fees |
SECTION 317:30-3-6. Utilization review for physician/hospital services |
SECTION 317:30-3-7. Care assurance validation support review for long term care [revoked] |
SECTION 317:30-3-8. Pre-billing |
SECTION 317:30-3-9. Medical services provided to relatives [revoked] |
SECTION 317:30-3-10. Sales tax |
SECTION 317:30-3-11. Timely filing limitation |
SECTION 317:30-3-11.1. Resolution of claim payment |
SECTION 317:30-3-12. Credits and adjustments |
SECTION 317:30-3-13. Advance directives |
SECTION 317:30-3-14. Freedom of choice |
SECTION 317:30-3-15. Record retention |
SECTION 317:30-3-16. Release of medical records |
SECTION 317:30-3-17. Discrimination laws |
SECTION 317:30-3-18. Criminal penalties |
SECTION 317:30-3-19. Administrative sanctions [revoked] |
SECTION 317:30-3-19.1. Revocation of enrollment and billing privileges in the Medicaid Program [revoked] |
SECTION 317:30-3-19.2. Denial of application for new or renewed provider enrollment contract based on criminal history [Expired] |
SECTION 317:30-3-19.3. Denial of application for new or renewed provider enrollment contract |
SECTION 317:30-3-19.4. Application fee, provider screening, and applicants subject to a fingerprint-based criminal background check |
SECTION 317:30-3-19.5. Termination of provider agreements |
SECTION 317:30-3-19.6. Complaints related to the Defunding Statutory Rape Cover-up Act |
SECTION 317:30-3-20. Claim inquiry procedures (excluding nursing homes and hospitals) |
SECTION 317:30-3-20.1. Pharmacy grievance procedures and processes [revoked] |
SECTION 317:30-3-21. Appeals procedures for nursing facilities |
SECTION 317:30-3-22. Hospital reimbursement rate appeals [revoked] |
SECTION 317:30-3-23. Reconsideration request |
SECTION 317:30-3-24. Third party liability |
SECTION 317:30-3-25. Crossovers (coinsurance and deductible) |
SECTION 317:30-3-26. Medicare Physician Payment Reform methodology [revoked] |
SECTION 317:30-3-27. Telehealth |
SECTION 317:30-3-28. Oklahoma Electronic Health Records Incentive Program |
SECTION 317:30-3-29. Revisions of provider fee schedules |
SECTION 317:30-3-30. Signature requirements |
SECTION 317:30-3-31. Prior authorization for health care-related goods and services |
SECTION 317:30-3-32. Retrospective review for payment for services to certain aliens |
SECTION 317:30-3-33. Suspended claims review and/or prepayment review |