OHCA Policies and Rules

317:2-3-14. Administrative Law Judge (ALJ) jurisdiction

[Revised 07-01-23]

The ALJ has jurisdiction of the following matters:

(1) Member state fair hearing. The ALJ has jurisdiction to hear any state fair hearing arising from a member's CE or DBM appeal of an adverse benefit determination.

(2) Provider OHCA administrative appeal. The ALJ has jurisdiction to hear any OHCA administrative appeal arising from a decision that was not wholly in the provider's favor.

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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.