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STATE OF OKLAHOMA
1st Session of the 59th Legislature (2023)
HOUSE BILL 1657 By: McEntire
AS INTRODUCED
An Act relating to public health and safety; amending
63 O.S. 2021, Section 1 -106.2, which relates to
maintenance of rules; adding rules for Medicaid
delivery system enrollment and credentialing ; and
providing an effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -106.2, is
amended to read as follows:
Section 1-106.2 A. By January 1, 1999, the The State Board of
Health shall promulgate maintain rules necessary to develop for a
uniform application wh ich shall be used in the cr edentialing process
of health care providers. The State Depa rtment of Health shall
develop maintain such application form for:
1. Initial privileges or membership in a hospital, managed care
organization, or other entity requir ing credentials verificatio n;
and
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2. Recredentialing or reappointment in a hospital, managed care
organization, or other entity requiring credentials verification.
B. Any entity requiring credentials verification may require
supplemental information.
C. Notwithstanding any other p rovision in this section, the
Oklahoma Health Care Authority , as the single state agency for
Medicaid, shall establish and maintain for providers of Medicaid
services:
1. A streamlined provider enroll ment and credentialing process
for any Medicaid fee-for-service delivery system; and
2. A single consolidated provider enrollment and credentialing
process for a managed care delivery system in accordance with
subsection D of Section 4002.4 of Title 56 of the Oklahoma Statutes
and 42 C.F.R., Section 438.214.
SECTION 2. This act shall bec ome effective November 1, 2023.
59-1-5505 TJ 12/21/22