Oklahoma 2026 Regular Session

Oklahoma House Bill HB3358

Introduced
2/2/26  

Caption

Medicaid provider audits; terms; review of Medicaid providers or managed care organizations; penalties; retain records; production of records; promulgation of rules; determination of overpayments; credible allegations of fraud; methodology for audits; notice; informal conference; expedited adjudicatory proceeding; Oklahoma Health Care Authority; corrective action plans; qualifications for hearing officer; costs; preliminary or final determination for overpayment; effective date.

Impact

The provisions of HB3358 are poised to significantly impact Medicaid providers by increasing accountability standards. The law introduces penalties for non-compliance and allows for challenges against preliminary findings of overpayments, offering Medicaid providers avenues to contest decisions made by the Authority. Furthermore, the bill establishes an expedited adjudicatory process for disputes, aiming to resolve conflicts swiftly while maintaining the integrity of the Medicaid system. These measures can potentially streamline operations but may also impose additional regulatory burdens on healthcare providers.

Summary

House Bill 3358 establishes a comprehensive framework surrounding Medicaid provider audits in Oklahoma, aimed at enhancing oversight and compliance within the Medicaid system. It requires Medicaid providers and managed care organizations to adhere to stringent record retention policies, mandating that relevant documents be kept for at least six years. Additionally, the bill authorizes the Oklahoma Health Care Authority to audit Medicaid providers for overpayments, implementing a detailed methodology for conducting these audits to ensure accuracy and fairness in the repayment process.

Contention

Despite its intentions to reinforce compliance, the implementation of HB3358 may face contention from healthcare providers who see the regulations as excessively burdensome. Critics argue that the stringent record retention and auditing requirements could lead to increased operational costs and complicate the delivery of services. Additionally, the processes for contesting findings and conducting audits could place undue pressure on providers, possibly discouraging participation in the Medicaid program and affecting healthcare accessibility for recipients.

Companion Bills

No companion bills found.

Previously Filed As

OK HB1577

State Medicaid program; medically necessary; donor human milk-derived products; reimbursement; promulgation of rules; policy or procedure; Oklahoma Health Care Authority; federal approval; effective date.

OK HB1576

Medicaid; terms; Oklahoma Health Care Authority; coverage; Medicaid; criteria; medical necessity; discretion; Chief Operating Officer; Health Information Portability and Accountability Act; scientific research; consent; research; opting-out; minors; promulgation of rules and regulations; waiver application; effective date; emergency.

OK SB453

Civil actions; creating the Oklahoma Expedited Actions Act; providing for application of expedited actions process. Effective date.

OK HB1100

Children; Oklahoma Children's Code; term; court; hearing; information; determination; immediate release; felony; court order; evidentiary standard; effective date.

OK HB2013

Sudden unexpected death in epilepsy (SUDEP); Dylan's Law; Service Oklahoma; driver license; unique symbol; voluntary; State Commissioner of Health; power and duty; Division of Health Care Information; autopsy; findings; records; determination; effective date.

OK SB253

Medicaid; requiring Oklahoma Health Care Authority to include certain information in annual budget request. Effective date.

OK HB1772

Medicaid; out-of-state medical providers; term; effective date.

OK HB1816

Medicaid; out-of-state medical providers; term; effective date.

OK SB423

Medical records; access; eliminating certain health care provider duties; authorizing certain fees. Effective date.

OK HB1988

Medicaid; Oklahoma Health Care Authority; eligibility; effective date.

Similar Bills

OH HB780

Enact the Medicaid Savings Act

OH SB386

Enact the Medicaid Savings Act

OH HB130

Regards Medicaid Estate Recovery Program notification requirement

HI SR116

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI HCR187

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI HR180

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI SCR144

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

NJ S2742

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.