Oklahoma SB875 amends Medicaid capitated contracts to require entities to meet minimum primary care expense requirements.
Oklahoma SB875 amends the state Medicaid program by making contracted entities ineligible for capitated contracts if they fail to meet certain minimum expense requirements. Specifically, contracted entities must spend at least 11% of their total health care expenses on primary care services. The bill also sets minimum reimbursement rates for various services and establishes quality measures for contracted entities. The changes are effective July 1, 2025, and are declared an emergency.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.