Okla. Admin. Code § 317:30-5-746
Current through Vol. 42, No. 4, November 1, 2024
Section 317:30-5-746 - Prior authorization and appeal of prior authorization decision(a) All behavioral health services must be prior authorized by the Oklahoma Health Care Authority (OHCA) or its designated agent before the service is rendered by an eligible provider. Without prior authorization, payment is not authorized. (b) If a denial decision is made, an appeal may be initiated by the member or the member's legal guardian. The denial can be appealed to the OHCA within thirty (30) calendar days of the receipt of the notification of the denial by the OHCA or its designated agent. Okla. Admin. Code § 317:30-5-746
Added at 17 Ok Reg 2402, eff 6-26-00; Amended at 23 Ok Reg 771, eff 3-9-06 (emergency); Amended at 23 Ok Reg 2440, eff 6-25-06; Amended at 24 Ok Reg 2857, eff 7-1-07 (emergency); Amended at 25 Ok Reg 1200, eff 5-25-08Amended by Oklahoma Register, Volume 36, Issue 21, July 15, 2019, eff. 9/1/2019Amended by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/14/2020