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OK SPA #25-0008 Managed Care Indirect Medical Education (IME) Payment

The proposed state plan amendment (SPA) establishes a managed care indirect medical education (IME) payment methodology for Oklahoma hospitals that are owned or operated by a public trust and affiliated with an accredited medical school. The managed care IME payment will be based on a percentage of the total Medicaid managed care payments to the hospital for inpatient and outpatient services. The percentage will depend on the number of residents and the number of beds available at the hospital. Payments will be disbursed quarterly. The IME payment will support the expansion of primary care and specialty medical education in rural settings and bolster the healthcare workforce in Oklahoma. Existing graduate medical education (GME) and IME payments will not be affected.   

Please view the draft SPA OK SPA #25-0008 and Public Notice and submit feedback via the comment box.

Public Notice Issued: February 28, 2025

SPA Circulation Date: March 5, 2025

Comment Due Date: March 15, 2025

Submit a Comment

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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.

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Last Modified on Mar 17, 2025
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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.