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

Okla. Stat. tit. 56, § 56-4002.3d: Selection of primary care provider by members

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Where this section sits in the code
  1. OK Code
  2. Title 56

A. Every Medicaid member enrolled in a contracted entity shall

have the right to select his or her primary care provider and to

change his or her primary care provider at any time, as long as the

selected primary care provider is a participating provider. Any

parent or guardian of a Medicaid member who is a minor child

enrolled in a contracted entity shall have the right to select the

primary care provider for the member's minor child and to change the

primary care provider at any time, as long as the selected primary

care provider is a participating provider.

B. If a member, or parent or guardian of a member who is a

minor child, does not select a primary care provider, the contracted

entity shall notify the member, parent, or guardian that he or she

needs to select a primary care provider and shall send the member,

parent, or guardian the name, contact information, employer, and any

other applicable information as determined by the Oklahoma Health

Care Authority of the three primary care providers nearest to the

member's home address that are contracted with the contracted

entity.

C. 1. If, after the contracted entity sends the information

described in subsection B of this section, the member, parent, or

guardian does not select a primary care provider within a time

determined by the Authority, the contracted entity shall assign the

member to a primary care provider in accordance with the process

described in paragraph 2 of this subsection.

2. The Authority shall develop and implement a process for the

assignment by contracted entities of Medicaid members who do not

select a primary care provider to a primary care provider. The

process shall prioritize existing patient-provider relationships and

geographic proximity of the patient to the provider, and shall

assign families to the same primary care provider to the extent

possible.

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

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