Okla. Stat. tit. 36, § 36-6570.5: Prior Authorization Application Programming Interface

requirement.

A. For plan years beginning on or after January 1, 2027, a

health benefit plan must implement and maintain a Prior

Authorization Application Programming Interface (API), as described

in 45 C.F.R. Part 156.

B. By July 1, 2027, health care providers must have electronic

health records or practice management systems that are compatible

with the API.

C. As of the effective date of this act, a utilization review

entity must provide health care providers with the following

opportunities for communication during the prior authorization

process:

1. Make staff available at least eight (8) hours a day during

normal business hours for inbound telephone calls regarding prior

authorization issues;

2. Allow staff to receive inbound communication regarding prior

authorization issues after normal business hours; and

3. Provide a treating provider with the opportunity to discuss

a prior authorization denial with an appropriate reviewer.