Part 1 - GENERAL SCOPE AND ADMINISTRATION

  1. § 317:30-3-1 - Creation and implementation of rules; applicability
  2. § 317:30-3-2 - Provider agreements
  3. § 317:30-3-2.1 - Program Integrity Audits/Reviews
  4. § 317:30-3-3 - Group billings
  5. § 317:30-3-3.1 - [Revoked]
  6. § 317:30-3-4 - Electronic fund transfer/direct deposit
  7. § 317:30-3-4.1 - Uniform Electronic Transaction Act
  8. § 317:30-3-5 - [Effective until 9/14/2024] Assignment and cost sharing
  9. § 317:30-3-5 - [Effective 9/14/2024] Assignment and cost sharing, version 2
  10. § 317:30-3-5.1 - Usual and customary fees
  11. § 317:30-3-6 - Utilization review for physician/hospital services
  12. § 317:30-3-7 - Care assurance validation support review for long term care [REVOKED]
  13. § 317:30-3-8 - Pre-billing
  14. § 317:30-3-9 - Medical services provided to relatives [REVOKED]
  15. § 317:30-3-10 - Sales tax
  16. § 317:30-3-11 - Timely filing limitation
  17. § 317:30-3-11.1 - Resolution of claim payment
  18. § 317:30-3-12 - Credits and adjustments
  19. § 317:30-3-13 - Advance directives
  20. § 317:30-3-14 - Freedom of choice
  21. § 317:30-3-15 - Record retention
  22. § 317:30-3-16 - Release of medical records
  23. § 317:30-3-17 - Discrimination laws
  24. § 317:30-3-18 - Criminal penalties
  25. § 317:30-3-19 - [Revoked]
  26. § 317:30-3-19.1 - [Revoked]
  27. § 317:30-3-19.3 - Denial of application for new or renewed provider enrollment contract
  28. § 317:30-3-19.4 - Application fee, provider screening, and applicants subject to a fingerprint-based criminal background check
  29. § 317:30-3-19.5 - Termination of provider agreements
  30. § 317:30-3-19.6 - Complaints related to the Defunding Statutory Rape Cover-up Act
  31. § 317:30-3-20 - Claim inquiry procedures (excluding nursing homes and hospitals)
  32. § 317:30-3-20.1 - Pharmacy grievance procedures and processes [REVOKED]
  33. § 317:30-3-21 - Appeals procedures for nursing facilities
  34. § 317:30-3-22 - Hospital reimbursement rate appeals [REVOKED]
  35. § 317:30-3-23 - Reconsideration request
  36. § 317:30-3-24 - Third party liability
  37. § 317:30-3-25 - Crossovers (deductibles, coinsurance, and copays)
  38. § 317:30-3-26 - Medicare Physician Payment Reform methodology [REVOKED]
  39. § 317:30-3-27 - [Effective until 9/14/2024] Telehealth
  40. § 317:30-3-27 - [Effective 9/14/2024] Telehealth, version 2
  41. § 317:30-3-27.1 - [Effective until 9/14/2024] Audio-only health service delivery
  42. § 317:30-3-28 - Oklahoma Electronic Health Records Incentive Program
  43. § 317:30-3-29 - Revisions of provider fee schedules
  44. § 317:30-3-30 - Signature requirements
  45. § 317:30-3-31 - Prior authorization for health care-related goods and services
  46. § 317:30-3-32 - Retrospective review for payment for services to certain aliens
  47. § 317:30-3-33 - Suspended claims review and/or prepayment review
  48. § 317:30-3-34 - Electronic visit verification (EVV) system
  49. § 317:30-3-35 - [Effective until 9/14/2024] Oklahoma Statewide Health Information Exchange
  50. § 317:30-3-35 - [Effective 9/14/2024] Oklahoma State Health Information Network and Exchange (OKSHINE), version 2

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.