APA WF 23-06B Transition to SoonerSelect
The proposed policy changes are currently in effect as Emergency Rules and must be promulgated as Permanent Rules. The proposed policy was presented at the Tribal Consultations held on September 6, 2022 and January 3, 2023, and to the Medical Advisory Committee on March 2, 2023. Additionally, this proposal will be presented at a Public Hearing scheduled for January 8, 2024, and is scheduled to be presented as Permanent Rules to the OHCA Board of Directors on January 17, 2024.
Please view the circulation document here: APA WF # 23-06B and submit feedback via the comment box below.
Circulation Date: 12/01/2023
Comment Due Date: 01/02/2024
Public Hearing: 01/08/2024
Board Meeting: 01/17/2024
Submit a Comment
After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.
Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.
Comments
Shawn:
While we applaud the Oklahoma Health Care Authority’s (OHCA) decision to require accreditation for Medicaid health plans operating in the state, we have serious concerns over language related to health equity accreditation mandated through a single organization despite the presence of multiple qualified accreditors in this space. We ask that the final rule be amended to permit additional accreditation options for health equity certification, including the full list of accreditors identified by OHCA in the definition of “accrediting entity” contained in proposed OAC Sec. 317:55-1-3.
….
Choice in accreditors is critical to ensure that costs, which are ultimately passed to consumers, remain low in an environment where innovation is incentivized… The OHCA’s decision to permit multiple accreditors for its Medicaid managed care program will result in increased quality and cost savings for the people of Oklahoma.
…..
We are concerned that requirements such as those contained in the proposed rule that limit health equity accreditation to one particular accreditor will hinder industry-wide adoption of health equity programs and diminish competition in Oklahoma, which has real-world impacts on quality.
OHCA’s Response:
Thank you for your suggestion. OHCA has updated the text at OAC 317:55-1-4(2)(c)) to state that health equity accreditation is exclusive to contracted entities and that it must be attained by a CMS-recognized accredited entity as defined within 317:55-1-3 and in accordance with the contract.
