Okla. Stat. tit. 56, § 56-4002.3d: Selection of primary care provider by members
Where this section sits in the code
- OK Code
- 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