§56-4002.3c. Process for assignment of Medicaid members to
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contracted entities.
A. The Authority shall develop and implement a process for assignment of Medicaid members to contracted entities.
B. The Authority may only utilize an opt-in enrollment process for the voluntary enrollment of American Indians and Alaska Natives. Notwithstanding any other provision of this act, the Authority shall comply with all Indian provisions associated with Medicaid managed care including, but not limited to, the Social Security Act, 1932(a)(2)(C), the American Recovery and Reinvestment Act of 2009, P.L. 111-5 (Feb. 17, 2009), Section 5006, the Children's Health Insurance Program Reauthorization Act of 2009, P.L. 111-3 (Feb. 4, 2009), and the Centers for Medicare and Medicaid Services
(CMS)managed care protections, 25 C.F.R., 438.14.
C. In the event of the termination of a capitated contract with a contracted entity during the contract duration, the Authority shall reassign members to a remaining contracted entity with demonstrated performance and capability. If no remaining contracted entity is able to assume management for such members, the Authority may select another contracted entity by application, as specified in rules promulgated by the Oklahoma Health Care Authority Board, if the financial, operation, and performance requirements can be met, at the discretion of the Authority. Added by Laws 2022, c. 395, § 5, eff. July 1, 2022.