OK HB1552

Establishes Oklahoma's Medicaid program as a statewide integrated managed care system requiring the Oklahoma Health Care Authority to implement a 1932(a) State Plan Amendment and 1915(b) waiver

Requires managed care plans to be selected through competitive procurement with five-year contracts, covering services including physician visits, hospital care, prescription drugs, mental health, dental, and transportation

Creates an income-sharing structure where plans retain 100% of income up to 5% of revenue, split 50/50 with the state for income between 5-10%, and refund 100% to the state for income above 10%

Establishes a long-term care managed care program covering nursing facility care, assisted living, hospice, home health, adult day care, and other services for recipients age 65+ or disabled adults age 18+ requiring nursing facility level care

Sets automatic enrollment procedures prioritizing specialty plans, existing provider relationships, and geographic accessibility, with recipients having 90 days to voluntarily change plans after initial enrollment