Okla. Stat. tit. 56, § 56-1012.3: Coverage for specialty provider services

A. The Oklahoma Health Care Authority shall take into

consideration the unique medical and functional needs of members

with complex physical disabilities when preparing or adjusting its

budget.

B. The Oklahoma Health Care Authority shall provide coverage

for specialty provider services, specialized equipment, and supplies

for people with complex physical disabilities. Such coverage shall

take into consideration the unique medical and functional needs of

people with complex physical disabilities by:

1. Identifying a means by which to recognize people with

complex physical disabilities through ID codes and/or billing

modifiers;

2. Determining current procedure terminology billing codes that

recognize specialized provider care and preserve a specialized rate

which will ensure access to care;

3. Identifying criteria required to establish qualifications as

a specialty provider; and

4. Classifying specialty products and goods into a separate

category and establishing a reasonable access protocol for certain

items.