{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6060.11b","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6060.11b","heading":"Reimbursement for benefits delivered through","body":"behavioral health integration and psychiatric collaborative care\n\nmodels.\n\nA. For the purposes of this section:\n\n1. “Behavioral health integration” means an approach to\n\ndelivering mental health care that improves the ability for primary\n\ncare providers to include mental and behavioral health screening,\n\ntreatment, and specialty care into their practice pursuant to\n\nCurrent Procedural Terminology billing code 99484, as established by\n\nthe American Medical Association;\n\n2. “Health benefit plan” means a plan as defined pursuant to\n\nSection 6060.4 of Title 36 of the Oklahoma Statutes;\n\n3. “Mental health and substance abuse disorder benefits” means\n\nbenefits for the treatment of any condition or disorder that\n\ninvolves a mental health condition or substance abuse disorder,\n\nincluding, but not limited to, those that fall under any of the\n\ndiagnostic categories listed in the mental disorders section of the\n\nmost recent edition of the International Classification of Diseases\n\nor in the mental disorders section of the most recent version of the\n\nDiagnostic and Statistical Manual of Mental Disorders;\n\n4. “Oklahoma Medicaid Program” means the state program\n\nadministered by the Oklahoma Health Care Authority pursuant to\n\nSection 1002 of Title 56 of the Oklahoma Statutes; and\n\n5. “Psychiatric collaborative care model” means the evidence-\n\nbased, integrated behavioral health service delivery method\n\ndescribed pursuant to 81 C.F.R. 80230. The model shall include, but\n\nnot be limited to, the following Current Procedural Terminology\n\nbilling codes, as established by the American Medical Association:\n\na. 99492,\n\nb. 99493, and\n\nc. 99494.\n\nB. 1. Any health benefit plan that is offered, issued, or\n\nrenewed in this state and that provides mental health or substance\n\nabuse disorder benefits shall provide reimbursement for such\n\nbenefits that are delivered through the behavioral health\n\nintegration and psychiatric collaborative care models.\n\n2. The Oklahoma Medicaid Program shall provide reimbursement\n\nfor such benefits that are delivered through the behavioral health\n\nintegration and psychiatric collaborative care models.\n\n3. Plans offered, issued, or renewed in this state that provide\n\nbenefits under this subsection may deny reimbursement of any Current\n\nProcedural Terminology code pursuant to paragraph 3 of subsection A\n\nof this section due to medical necessity; provided, such medical\n\nnecessity determinations shall be in compliance with the federal\n\nPaul Wellstone and Pete Domenici Mental Health Parity and Addiction\n\nEquity Act of 2008, as amended, and its implementing and related\n\nregulations, and in accordance with the utilization review\n\nrequirements pursuant to Section 6551 et seq. of Title 36 of the\n\nOklahoma Statutes and the review and denial of mental health and\n\nsubstance abuse disorder treatments and services in Section 1250.5\n\net seq. of Title 36 of the Oklahoma Statutes.","path":["OK Code","Title 36"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os36.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"32638f93e9e068381e4a8320491395d609560b9464b892839ab516f9956bb0de","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-6060.11a","next":"us-ok/okla.-stat.-tit.-36-36-6060.12"},"notice":"GroundRules: Original legal text. Not legal advice."}