{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-2550.1","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-2550.1","heading":"Definitions","body":"As used in Sections 2550.1 through 2550.4 of this title:\n\n1. “Covered person” means an individual who receives medical\n\ncare and treatment through a managed care plan. In the case of a\n\nminor child, the term includes the parent or legal guardian of the\n\nchild and, in the case of an incapacitated or partially\n\nincapacitated person, the legal guardian of that person;\n\n2. “Degenerative and disabling condition or disease” means a\n\ncondition or disease caused by a congenital or acquired injury or\n\nillness that requires a specialized rehabilitation program or a high\n\nlevel of care, service, resources or continued coordination of care\n\nin the community;\n\n3. “Designee of the covered person” means an individual\n\ndesignated by the covered person to represent the interests of the\n\ncovered person, including the covered person’s provider;\n\n4. “Managed care plan” means a plan operated by a managed care\n\nentity, including the Oklahoma State and Education Employees Group\n\nInsurance Board, that provides for the financing and delivery of\n\nhealth care services to persons enrolled in such plan through:\n\na. arrangements with selected providers to furnish health\n\ncare services,\n\nb. standards for the selection of participating\n\nproviders,\n\nc. organizational arrangements for ongoing quality\n\nassurance, utilization review programs, and dispute\n\nresolution, and\n\nd. financial incentives for persons enrolled in the\n\nmanaged care plan to use the participating providers\n\nand procedures provided for by the managed care plan;\n\nprovided, however, the term “managed care plan” shall not include a\n\npreferred provider organization (PPO) as defined in Section 6054 of\n\nTitle 36 of the Oklahoma Statutes, or a certified workplace medical\n\nplan as defined in Section 14.2 of Title 85 of the Oklahoma\n\nStatutes;\n\n5. “Provider” shall have the same meaning as such term is\n\ndefined by a health maintenance organization, an indemnity plan or a\n\npreferred provider organization; and\n\n6. “Treatment plan” means a proposal developed for a covered\n\nperson that is specifically tailored to the individual’s treatment\n\nneeds for a specific illness or condition, and that includes, but is\n\nnot limited to:\n\na. a statement of treatment goals or objectives, based\n\nupon and related to a medical evaluation,\n\nb. treatment methods and procedures to be used to obtain\n\nthese goals, and\n\nc. identification of the types of professional personnel\n\nwho will carry out the treatment procedures.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"3b8c1513c397eba7dbc74fe946868ac97e1333292ecc0d7c4a33d3d6257e7784","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-2525.1","next":"us-ok/okla.-stat.-tit.-63-63-2550.2"},"notice":"GroundRules: Original legal text. Not legal advice."}