Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 365. Insurance Department |
Chapter 40. Health Maintenance Organizations (HMO) |
Subchapter 1. General Provisions |
SECTION 365:40-1-1. Purpose |
SECTION 365:40-1-2. Definitions |
SECTION 365:40-1-3. Medicaid HMOs |
SECTION 365:40-1-4. Severability provision |
Subchapter 3. Financial |
Part 1. HMO FORMS AND INSTRUCTIONS |
Part 3. HOLDING COMPANY SYSTEM |
Part 5. MISCELLANEOUS |
Subchapter 5. Life, Accident & Health Division and Consumer Assistance and Claims Division Rules |
Part 1. GENERAL PROVISIONS |
Part 3. RATING SYSTEM |
Part 5. BASIC AND SUPPLEMENTAL HEALTH CARE SERVICES |
Part 7. POINT OF SERVICE OPTION |
Part 9. HMO REQUIREMENTS AND PROHIBITIONS |
Part 11. COORDINATION OF BENEFITS |
Part 13. TERMINATION OF MEMBERS, PROVIDERS AND CONTINUATION OF BENEFITS |
Part 15. DISCONTINUATION OF HMO |
Part 17. CONFIDENTIALITY OF MEDICAL INFORMATION AND LIABILITY |
Part 19. REQUEST FOR ASSISTANCE AND PROMPT PAY FORMS |
Part 21. GEOGRAPHIC SERVICE AREA VARIATIONS |
Part 23. REIMBURSEMENT OF CLAIMS |
Appendix A. HMO Form A |
Appendix B. HMO Form B |
Appendix C. HMO Form C |
Appendix D. HMO Form D |
Appendix E. HMO Form E |
Appendix F. HMO Form R |
Appendix G. Prompt Pay Form |
Note
[Authority: 36 O.S., §§ 307.1, 6903(D), and 6923]
[Source: Codified 7-14-04]