Enrollment in a capitated managed care delivery model of the state Medicaid program.

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A. Unless expressly authorized by the Legislature, the Oklahoma Health Care Authority may only require enrollment in a capitated managed care delivery model of the state Medicaid program for eligible individuals from an enrollee population of the state Medicaid program delineated as a mandatory enrollment population in the SoonerSelect Request for Proposals awarded in January of 2021 or the SoonerSelect Dental Program Request for Proposals awarded in February of 2021.

B. 1. Unless expressly authorized by the Legislature, enrollment in a capitated managed care delivery model of the state Medicaid program shall be voluntary for eligible individuals from an enrollee population of the state Medicaid program delineated as a voluntary enrollment population in the SoonerSelect Request for Proposals awarded in January of 2021 or the SoonerSelect Dental Program Request for Proposals awarded in February of 2021.

2. The Authority may only utilize an opt-in enrollment process for the voluntary enrollment of individuals in the American Indian/Alaska Native population.

C. Unless expressly authorized by the Legislature, the Authority shall not:

1. Require enrollment in a capitated managed care delivery model of the state Medicaid program for eligible individuals from any enrollee population of the state Medicaid program delineated as an excluded population in or omitted entirely from the SoonerSelect Request for Proposals awarded in January of 2021 or the SoonerSelect Dental Program Request for Proposals awarded in February of 2021; or

2. Offer voluntary enrollment in a capitated managed care delivery model of the state Medicaid program to eligible individuals from any enrollee population of the state Medicaid program delineated as an excluded population in or omitted entirely from the SoonerSelect Request for Proposals awarded in January of 2021 or the SoonerSelect Dental Program Request for Proposals awarded in February of 2021.

Added by Laws 2021, c. 542, § 3, eff. Sept. 1, 2021.


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