An Act
ENROLLED HOUSE
BILL NO. 1657 By: McEntire of the House
and
Rosino of the Senate
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 cer tain provisions; updating
statutory language; directing Oklahoma Health Care
Authority to establish certain processes ; providing
for codification; and providing an effective date.
SUBJECT: Health care
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAH OMA:
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 ,
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 v erification,
except for a contracted entity as defined by Section 4002.2 of Title
56 of the Oklahoma Statute s. ENR. H. B. NO. 1657 Page 2
B. Any entity requiring credentials verificatio n may require
supplemental information.
SECTION 2. NEW LAW A new sectio n 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 Ac t.
SECTION 3. This act shall become effective N ovember 1, 2023. ENR. H. B. NO. 1657 Page 3
Passed the House of Representatives the 11th day of May, 2023.
Presiding Officer of the House
of Representatives
Passed the Senate the 20th day of April, 2023.
Presiding Officer of the Senate
OFFICE OF THE GOVERNOR
Received by the Office of the Governor this ____________________
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________
Approved by the Governor of the State of Oklahoma this _____ ____
day of _________________ __, 20_______, at _______ o'clock _______ M.
_________________________________
Governor of the State of Oklahoma
OFFICE OF THE SECRETARY OF STATE
Received by the Office of the Secretary of State this __________
day of ___________________, 20_______, a t _______ o'clock _______ M.
By: _________________________________