Okla. Admin. Code § 317:25-9-3

Current through Vol. 42, No. 8, January 2, 2025

Section 317:25-9-3 - Reimbursement

(a) In order to be eligible for payment, Health Access Networks (HANs) must have on file with the Oklahoma Health Care Authority (OHCA) an approved Provider Agreement. Through this agreement, the HAN assures that OHCA's requirements are met and assures compliance with all applicable federal and state regulations.

(b) The HAN will be reimbursed a per member per month (PMPM) rate based on the number of member months paid to the PCPs affiliated with the HAN. OHCA reserves the right to limit reimbursement based on availability of funds.

Added at 28 Ok Reg 8, eff 8-13-10 (emergency); Added at 28 Ok Reg 1389, eff 6-25-11

Amended by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/14/2020