{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6570.3","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6570.3","heading":"Adverse determinations to be made by physician or","body":"licensed mental health professional.\n\nA utilization review entity shall ensure that all adverse\n\ndeterminations are made by a physician or licensed mental health\n\nprofessional. The physician or licensed mental health professional\n\nshall:\n\n1. Possess a current and valid nonrestricted license in any\n\nUnited States jurisdiction;\n\n2. Have the appropriate training, knowledge, or expertise to\n\napply appropriate clinical guidelines to the health care service\n\nbeing requested; and\n\n3. Make the adverse determination under the clinical direction\n\nof one of the utilization review entity's medical directors who is\n\nresponsible for the provision of reviewing health care services to\n\nenrollees of Oklahoma. All such medical directors must be\n\nphysicians licensed in any United States jurisdiction.","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":"956c4e5a91f373b3c91b5adb6858adead75e4001fafc8ad6ce46526fcdff4810","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-6570.2","next":"us-ok/okla.-stat.-tit.-36-36-6570.4"},"notice":"GroundRules: Original legal text. Not legal advice."}