{"data":{"id":"us-ok/okla.-stat.-tit.-56-56-1011.9","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 56, § 56-1011.9","heading":"Establishment of method to reduce payment error rate -","body":"Reporting of errors.\n\nA. 1. The Oklahoma Health Care Authority shall establish a\n\nmethod to deter abuse and reduce errors in Medicaid billing,\n\npayment, and eligibility through the use of technology and\n\naccountability measures for the Authority, providers, and consumers.\n\nThe Authority shall achieve a payment error rate measurement of no\n\ngreater than five percent (5%) by fiscal year 2009. The Oklahoma\n\nHealth Care Authority shall evaluate and report findings to the\n\nGovernor and the Legislature.\n\n2. For the purposes of this section, “error rate” means errors\n\nbased on clearly defined objective documentation standards that are\n\nreadily available to providers. Training to meet the standards\n\nshall be provided on at least an annual basis by the Oklahoma Health\n\nCare Authority.\n\nB. 1. If errors are suspected to be the result of fraudulent\n\nacts, the errors shall be reported and investigated by the Oklahoma\n\nAttorney General.\n\n2. Recoupment of overpayments due to identified errors\n\ndetermined not to be fraudulent and shall occur only after the\n\nprovider has had the opportunity to exercise the right to an appeal\n\nthat shall include a hearing conducted by an administrative law\n\njudge appointed by the Oklahoma Attorney General. The provider\n\nshall have the right to participate in the hearing and to be\n\nrepresented by legal counsel.\n\nC. The Oklahoma Health Care Authority shall evaluate and report\n\nfindings concerning the limited use of the extrapolation method to\n\nthe Governor and the Legislature.","path":["OK Code","Title 56"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os56.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"a0d9cbf220f5ec48c61f9ef9bd1eed0219a0777a1a00cf311f865d7469ba4a58","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-56-56-1011.8","next":"us-ok/okla.-stat.-tit.-56-56-1011.9a"},"notice":"GroundRules: Original legal text. Not legal advice."}