§56-4002.11. Scorecard comparing contracted entities and dental
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/ok/title-56-poor-persons/56-4002-11·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
benefit managers.
No later than one
(1)year following the execution of the delivery model transition described in the Ensuring Access to Medicaid Act, the Oklahoma Health Care Authority shall create a scorecard that compares each contracted entity and separately compares each dental benefit manager. The scorecard shall report the average speed of authorizations of services, rates of denials of Medicaid reimbursable services when a complete authorization request is submitted in a timely manner, member satisfaction survey results, provider satisfaction survey results, and such other criteria as the Authority may require. The scorecard shall be compiled quarterly and shall consist of the information specified in this section from the prior quarter. The Authority shall provide the most recent quarterly scorecard to all initial members during enrollment choice counseling following the eligibility determination and prior to initial enrollment. The Authority shall provide the most recent quarterly scorecard to all members at the beginning of each enrollment period. The Authority shall publish each quarterly scorecard on its public Internet website.
Added by Laws 2021, c. 542, § 11, eff. Sept. 1, 2021. Amended by Laws 2022, c. 395, § 14, eff. July 1, 2022.