Medicaid provider audits; terms; review of Medicaid providers or managed care organizations; penalties; retain records; production of records; promulgation of rules; determination of overpayments; credible allegations of fraud; methodology for audits; notice; informal conference; expedited adjudicatory proceeding; Oklahoma Health Care Authority; corrective action plans; qualifications for hearing officer; costs; preliminary or final determination for overpayment; effective date.

Summary

The legislation lets the Oklahoma Health Care Authority inspect the records of Medicaid providers and managed‑care organizations, require them to keep records for six years, and conduct audits when there are credible fraud allegations. It authorizes penalties up to $5,000 per violation, orders to correct conduct, and possible suspension or revocation of contracts. The aim is to protect Medicaid funds and ensure providers meet contractual obligations.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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