OK SB1837

Oklahoma Health Care Authority must request a federal exemption from CMS to allow Medicaid home- and community-based services providers in rural counties to provide case management and develop person-centered plans

Rural counties are defined as those with a population of 60,000 or less according to the most recent Federal Decennial Census

The exemption seeks relief from 42 C.F.R. Section 441.301(c)(1)(vi), which typically restricts providers from performing both direct services and case management functions

The Authority must establish conflict of interest protections for exempted providers, including separation of entity and provider functions within provider entities

Effective date: November 1, 2026