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STATE OF OKLAHOMA
1st Session of the 59th Legislature (2023)
COMMITTEE SUBSTITUTE
FOR ENGROSSED
HOUSE BILL 1657 By: McEntire of the House
and
Rosino of the Senate
COMMITTEE SUBSTITUTE
An Act relating to health care; amending 63 O.S.
2021, Section 1-106.2, which relates to health care
provider credentialing process ; modifying
applicability of certain provisions; updating
statutory language; directing Oklahoma Health Care
Authority to establish certain processes ; providing
for codification; 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 f ollows:
Section 1-106.2 A. By January 1, 1999, the The State Board
Commissioner of Health shall promulgate rules necessary to develop a
uniform application which shall be used in the credentialing process
of health care providers. The State Department o f Health shall
develop such application form for :
1. Initial privileges or membership in a hospital , managed care
organization, or other entity requiring credentials verification ,
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except for a contracted entity as defined by Section 4002.2 of Title
56 of the Oklahoma Statutes ; and
2. Recredentialing o r reappointment in a hospital , managed care
organization, or other entity requiring credentials verification ,
except for a contracted entity as defined by Section 4002.2 of Title
56 of the Oklahoma Statute s.
B. Any entity requiring credentials verificatio n may require
supplemental information.
SECTION 2. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 5071 of Title 63, unless there
is created a duplication in numbering, reads as follows:
The Oklahoma Health Care Authority shall establish and maintain
for providers of Medicaid services:
1. A provider enrollment and credentialing process for
providers who receive fee-for-service reimbursement under the state
Medicaid program; and
2. A single consolidat ed provider enrollment and credentialing
process, in accordance with subsection D of Section 4002.4 of Title
56 of the Oklahoma Statutes and 42 C.F.R., Section 438.214 , for
providers who enter into c apitated contracts with contracted
entities under the Ens uring Access to Medicaid Act .
SECTION 3. This act shall become effective November 1, 2023.
59-1-2111 DC 4/13/2023 11:01:06 AM