Okla. Admin. Code § 310:657-17-4

Current through Vol. 41, No. 19, June 17, 2024

Section 310:657-17-4 - Commissioner review

(a) No contract, provider directory or amendment shall be delivered or issued unless the Commissioner has approved its form.

(b) Each contract form shall be filed with the Commissioner at least thirty (30) days before delivery or issue. The Commissioner may extend the period for review for an additional thirty (30) days. The form is approved if the Commissioner takes no action at the end of the review period. The Plan shall notify the Commissioner in writing before using a form approved by the Commissioner's lack of action.

(c) After at least thirty (30) days notice, the Commissioner may withdraw approval of any form for cause shown.

(d) When a filing is disapproved or when approval is withdrawn, the Commissioner shall give the Plan written notice of the reasons for disapproval. The notice shall inform the Plan that within thirty (30) days after receipt of the notice the Plan may request a hearing. The hearing shall be conducted under the Administrative Procedures Act.

(e) The Commissioner may require supporting information in determining whether to approve or disapprove a filing.

Okla. Admin. Code § 310:657-17-4

Added at 12 Ok Reg 2977, eff 6-16-95 (emergency); Added at 13 Ok Reg 2127, eff 6-13-96