ok-1145: Oklahoma Health Care Authority — Medical Providers-Fee for Service
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The Oklahoma Health Care Authority proposes policy revisions to ensure compliance with federal and state regulations. These revisions prevent third-party insurers from denying Medicaid members' claims solely due to the lack of prior authorization for services covered under the state plan or waivers. Additionally, these changes align with Section 1903(c) of the Social Security Act, designating Medicaid as the payer of first resort for Medicaid-covered services listed in a Medicaid-eligible student’s Individualized Education Program (IEP) or Individual Family Service Plan (IFSP).
The agency’s own summary, as published.
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