HB3358

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.

Introduced·2/2/26
Int Text

Oklahoma HB3358 establishes procedures for Medicaid provider audits, including notice, informal conferences, and expedited adjudicatory proceedings.

Oklahoma HB3358 creates new sections in the Oklahoma Statutes to govern Medicaid provider audits. It mandates that the Oklahoma Health Care Authority notify providers of preliminary findings of overpayment and allows for informal conferences to address these findings. The bill also outlines procedures for expedited adjudicatory proceedings, including the qualifications of hearing officers and the timeframes for these proceedings. It requires Medicaid providers and subcontractors to retain records for six years and to produce these records upon request.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Rules Committee
Next
Committee decision

Sponsors

0
1
R
Democratic CaucusRepublican Caucus

History

Feb 3

House

Second Reading referred to Rules

Feb 2

House

First Reading

Feb 2

House

Authored by Representative Williams