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ENGROSSED SENATE AMENDMENT
TO
ENGROSSED HOUSE
BILL NO. 1657 By: McEntire of the House
and
Rosino of the Senate
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.
AMENDMENT NO. 1. Page 1, strike the title, enacting clause and
entire bill and insert
“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
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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 ,
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 hospit al, 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
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providers who enter into c apitated contracts with contracted
entities under the Ens uring Access to Medicaid Ac t.
SECTION 3. This act shall become effective November 1, 2023. ”
Passed the Senate the 20th day of April, 2023.
Presiding Officer of the Senate
Passed the House of Representatives the ____ day of __________,
2023.
Presiding Officer of the House
of Representatives
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ENGROSSED HOUSE
BILL NO. 1657 By: McEntire of the House
and
Rosino of the Senate
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 4. 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 Department 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
2. Recredentialing or reappointment in a hospital, managed care
organization, or other entity requiring credentials verification.
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B. Any entity requiring credentials verification may require
supplemental information.
C. Notwithstanding any other p rovision in this section, the
Oklahoma Health Care Author ity, 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 5. This act shall bec ome effective November 1, 2023.
Passed the House of Representatives the 13th day of March, 2023.
Presiding Officer of the House
of Representatives
Passed the Senate the ___ day of __________, 2023.
Presiding Officer of the Senate