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OK HB2797

Bill

Status

Passed

5/29/2025

Primary Sponsor

Trey Caldwell

Click for details

Origin

House of Representatives

2025 Regular Session

AI Summary

  • Prohibits the Oklahoma Health Care Authority from using extrapolation or statistical sampling methodologies for auditing Medicaid home and community-based services claims submitted between January 27, 2020 and November 1, 2027 that could result in repayment demands exceeding the audited claim amounts.

  • Nullifies all previous audit demands using extrapolation or statistical sampling methods for audit periods beginning January 27, 2020 through November 1, 2025, and prevents the authority from demanding repayment or imposing penalties related to those nullified audits.

  • Requires the Oklahoma Health Care Authority to comply with fraud reporting requirements under Section 249 of Title 56 and work jointly with the Department of Human Services to develop audit methodology standards and training programs for providers by November 1, 2027.

  • Amends Section 1020 to clarify that the Department of Human Services conducts annual performance audits of community-based services while the Oklahoma Health Care Authority conducts claims audits to verify service delivery.

  • Declares an emergency, making the act effective immediately upon passage and approval.

Legislative Description

Health Care Authority; prohibiting use of certain methodology; audits; fraud reporting; requiring joint collaboration between Department of Mental Health and Substance Abuse Services and Department of Human Services; duties; emergency.

Last Action

Becomes law without Governor's signature 05/29/2025

5/29/2025

Committee Referrals

Appropriations and Budget2/4/2025

Full Bill Text

No bill text available