Okla. Stat. tit. 56, § 56-4002.4a: Standard contract terms

A. 1. The Oklahoma Health Care Authority shall develop

standard contract terms for contracted entities to include, but not

be limited to, all requirements stipulated by this act. The

Authority shall oversee and monitor performance of contracted

entities and shall enforce the terms of capitated contracts as

required by paragraph 2 of this subsection.

2. The Authority shall require each contracted entity to meet

all contractual and operational requirements as defined in the

requests for proposals issued pursuant to Section 3 of this act.

Such requirements shall include but not be limited to reimbursement

and capitation rates, insurance reserve requirements as specified by

the Insurance Department, acceptance of risk as defined by the

Authority, operational performance expectations including the

assessment of penalties, member marketing guidelines, other

applicable state and federal regulatory requirements, and all

requirements of this act including, but not limited to, the

requirements stipulated in this section.

B. The Authority shall develop methods to ensure program

integrity against provider fraud, waste, and abuse.

C. The Authority shall develop processes for providers and

Medicaid members to report violations by contracted entities of

applicable administrative rules, state laws, or federal laws.