OK HB3385

Establishes a statewide integrated managed care program for all Medicaid covered services, including long-term care, requiring the Oklahoma Health Care Authority to apply for a 1932(a) State Plan Amendment and 1915(b) Medicaid waiver

Requires the Authority to select managed care plans through competitive negotiations in regional areas, considering quality factors such as accreditation, fraud prevention measures, provider accessibility, and additional benefits like dental care

Mandates all Medicaid recipients enroll in a managed care plan unless exempt under federal law, with recipients given 30 days to choose a plan and 90 days for voluntary disenrollment; automatic enrollment based on plan performance and other criteria

Establishes minimum covered services including emergency services, hospital care, prescription drugs, dental services, mental health services, and long-term care services such as nursing facility care, assisted living, and home-delivered meals

Creates a separate long-term care managed care program for eligible recipients age 65+ or those requiring nursing facility care, with managed care plans compensated through risk-adjusted per-member, per-month payments; effective November 1, 2014