ok-1215: Oklahoma Health Care Authority — Medical Providers-Fee for Service
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House Bill 2322 of the 2022 Regular Legislative Session directed the OHCA to reimburse pharmacists for services rendered within their scope of practice at the same rate paid to other providers for provision of the same services. The proposed additions will implement pharmacists’ services as a covered benefit to SoonerCare members. The policy additions require pharmacists to be licensed by the Oklahoma State Board of Pharmacy, allows coverage of services within pharmacists’ statutory scope of practice, and establishes a reimbursement methodology for pharmacists that is identical to that of physicians. Further, the proposed changes add pharmacists’ services to definition of I/T/U facility encounter services, allowing them to be reimbursed at the OMB rate.
The agency’s own summary, as published.
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