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OK HB3358
Bill
Status
2/2/2026
Primary Sponsor
Danny Williams
Click for details
AI Summary
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Oklahoma Health Care Authority may audit Medicaid providers and managed care organizations for overpayments, but cannot extrapolate audit findings unless the provider's error rate exceeds 10% based on valid statistical sampling approved by HHS
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Medicaid providers must retain all medical and business records for at least 6 years and produce them within 2 business days of request (or 10 days if held by subcontractors)
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Providers receiving preliminary overpayment findings have 30 days to request an informal conference and may submit corrective action plans to address clerical or documentation errors before final determinations
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Administrative penalties up to $5,000 per occurrence may be imposed for material contract breaches, deceptive marketing practices, or fraudulent procurement of Medicaid benefits
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Providers may challenge overpayment determinations through expedited adjudicatory proceedings before a qualified hearing officer, with hearings limited to 10 business days and decisions issued within 30 days; effective date November 1, 2026
Legislative Description
Medicaid provider audits; terms; review of Medicaid providers or managed care organizations; penalties; retain records; production of records; promulgation of rules; determination of overpayments; credible allegations of fraud; methodology for audits; notice; informal conference; expedited adjudicatory proceeding; Oklahoma Health Care Authority; corrective action plans; qualifications for hearing officer; costs; preliminary or final determination for overpayment; effective date.
Last Action
Second Reading referred to Rules
2/3/2026