Statutes, codes, and regulations
Oklahoma Administrative Code
Title 317 - Oklahoma Health Care AuthorityChapter 2 - Grievance Procedures and Process
Subchapter 3 - Member Grievances and Appeals, Provider Complaints, and State Fair Hearings in Soonerselect
Section 317:2-3-7 - Obligation to pay costs of services

Okla. Admin. Code § 317:2-3-7

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Current through Vol. 42, No. 3, October 15, 2024
Section 317:2-3-7 - Obligation to pay costs of services
(a) If OHCA or the CE and DBM reverses a decision to deny, limit, or delay services and these services were not furnished while the appeal or State fair hearing was pending, the CE and DBM will authorize or provide the disputed services promptly and as expeditiously as the member's health condition requires.
(b) If OHCA or the CE and DBM reverses a decision to deny, limit, or delay services and the member received the disputed services while the appeal or State fair hearing was pending, the CE and DBM will pay for these services.

Okla. Admin. Code § 317:2-3-7

Adopted by Oklahoma Register, Volume 39, Issue 10, February 1, 2022, eff. 12/21/2021
Adopted by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/12/2022
Amended by Oklahoma Register, Volume 40, Issue 16, May 1, 2023, eff. 7/1/2023
Amended by Oklahoma Register, Volume 41, Issue 23, August 15, 2024, eff. 9/1/2024