State Medicaid program - Administrative sanctions.

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  2. Oklahoma Statutes
  3. Public Health and Safety
  4. State Medicaid program - Administrative sanctions.

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A. The Oklahoma Health Care Authority may administer administrative sanctions to Medicaid recipients who abuse the state Medicaid program.

B. Administrative sanctions shall not be administered by the Oklahoma Health Care Authority until notice and hearing have been provided to the Medicaid recipient.

C. For purposes of this section, “abuse” means practices that result in reimbursement for services that are not medically necessary, including reimbursement for a gross overutilization of services.

Added by Laws 2011, c. 255, § 2, eff. Nov. 1, 2011.


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