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