Oklahoma Health Care Authority Docket OAC 317:55 Proposed Rule

ok-1194: Oklahoma Health Care Authority — Managed Care

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Summary

The Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality Final Rule (CMS-2439-F) requires that any ILOS provided by a managed care contracted entity (CE) be an approvable state plan or HCBS service. These proposed policy revisions define ILOS and clarify that an ILOS is a component of the capitation rate paid to SoonerSelect CEs.

The agency’s own summary, as published.

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