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Oklahoma · Snapshot open-us-law v2026.08, retrieved 2026-09-14

Okla. Stat. tit. 36, § 36-6570.57: Continuity of prior authorizations during health plan

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Where this section sits in the code
  1. OK Code
  2. Title 36

changes.

A. On receipt of information documenting a prior authorization

from the enrollee or from the enrollee's health care provider, a

utilization review entity shall honor a prior authorization granted

to an enrollee from a previous utilization review entity for at

least the initial sixty (60) days of an enrollee's coverage under a

new health plan.

B. During the time period described in subsection A of this

section, a utilization review entity may perform its own review to

grant a prior authorization or make an adverse determination.

C. A utilization review entity shall continue to honor a prior

authorization it has granted to an enrollee when the enrollee

changes products under the same health insurance company for the

initial sixty (60) days of an enrollee's coverage under the new

product unless the service is no longer a covered service under the

new product.

D. During the time period described in subsection C of this

section, a utilization review entity may simultaneously perform a

review to grant a prior authorization or to make an adverse

determination.

E. Provided the provisions of this section do not violate any

applicable law, regulation, or the Oklahoma Medicaid State Plan.

Collected 2026-09-14T18:32:36Z. Source file · JSON

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