Medicaid reimbursements; minimum rates of reimbursements; discretionary; effective date.
Second Reading referred to Rules
Summary
The bill allows the Oklahoma Health Care Authority to set floor reimbursement amounts for Medicaid providers who do not join value‑based payment contracts, requiring at least 100% of the fee schedule for in‑network services and 90% for out‑of‑network services. It also obligates health plans to offer optional value‑based contracts tied to quality incentives and adds special payment rules for rural clinics, behavioral health centers, pharmacies, anesthesia, transportation and other services. The goal is to protect provider payments while encouraging quality‑linked payment models.
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