OKLAHOMA CITY (April 30, 2026) – Attorney General Gentner Drummond formally requested that State Auditor and Inspector Cindy Byrd conduct an independent audit of the Oklahoma Health Care Authority (OHCA). The request reflects mounting provider complaints and OHCA's repeated failure to respond adequately to the AG's formal inquiries about the state’s contracted managed care organizations (MCOs).
The letter dated April 24 details a pattern of payment delays, claims processing failures, inappropriate denials of medically necessary services and a lack of substantive corrective action by OHCA. The three MCOs contracted to administer Oklahoma’s Medicaid managed care program are Humana, Aetna, and Oklahoma Complete Health.
Drummond wrote in the letter, “Oklahoma’s second experiment with managed care Medicaid is failing to deliver on its promises. Providers are reducing staff. Patients are being denied essential care. Out-of-state corporations are controlling access to critical services without accountability...”
Drummond demanded corrective action from OHCA Chief Executive Officer Clay Bullard on three occasions after sending formal correspondence documenting systemic failures in the managed care program. Despite repeated requests for written responses, OHCA provided only verbal assurances and, on April 10, responded by defending the MCOs and citing high claim approval rates rather than identifying specific corrective measures, all while acknowledging that “issues need to be fixed.”
“When an agency entrusted with Oklahoma’s most vulnerable citizens refuses to hold billion-dollar corporations accountable, it falls to this office to act,” said Drummond. “Providers across this state have been sounding the alarm for months. Oklahoma patients are being denied care they are legally entitled to, and OHCA has chosen to defend the MCOs rather than the people it serves. An independent audit is not only warranted – it is essential to restore accountability and protect public funds.”
