{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-2550.3","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-2550.3","heading":"Termination of participating providers – Procedures and","body":"conditions.\n\nA. Every managed care plan shall establish procedures\n\ngoverning termination of a participating provider who is terminated\n\nfor reasons other than cause. The procedures shall include\n\nassurance of continued coverage of services, at the contract terms\n\nand price by a terminated provider for up to ninety (90) calendar\n\ndays from the date of notice to the covered person, for a covered\n\nperson who:\n\n1. Has a degenerative and disabling condition or disease;\n\n2. Has entered the third trimester of pregnancy. Additional\n\ncoverage of services by the terminated provider shall continue\n\nthrough at least six (6) weeks of postpartum evaluation; or\n\n3. Is terminally ill.\n\nB. 1. If a participating provider voluntarily chooses to\n\ndiscontinue participation as a network provider in a managed care\n\nplan, the managed care plan shall permit a covered person to\n\ncontinue an ongoing course of treatment with the disaffiliated\n\nprovider during a transitional period:\n\na. of up to ninety (90) days from the date of notice to\n\nthe managed care plan of the provider’s disaffiliation\n\nfrom the managed care plan’s network, or\n\nb. that includes delivery and postpartum care if the\n\ncovered person has entered the third trimester of\n\npregnancy at the time of the provider’s\n\ndisaffiliation.\n\n2. If a provider voluntarily chooses to discontinue\n\nparticipation as a network provider participating in a managed care\n\nplan, such provider shall give at least a ninety-day notice of the\n\ndisaffiliation to the managed care plan. The managed care plan\n\nshall immediately notify the disaffiliated provider’s patients of\n\nthat fact.\n\n3. Notwithstanding the provisions of paragraph 1 of this\n\nsubsection, continuing care shall be authorized by the managed care\n\nplan during the transitional period only if the disaffiliated\n\nprovider agrees to:\n\na. continue to accept reimbursement from the managed\n\ncare plan at the rates applicable prior to the start\n\nof the transitional period as payment in full,\n\nb. adhere to the managed care plan’s quality assurance\n\nrequirements and to provide to the managed care plan\n\nnecessary medical information related to such care,\n\nand\n\nc. otherwise adhere to the managed care plan’s policies\n\nand procedures, including, but not limited to,\n\npolicies and procedures regarding referrals, and\n\nobtaining preauthorization and treatment plan\n\napproval from the managed care plan.","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":"d3b5e6d0464e9b37d42f9dd4f23679cd89d90b79c5a025fc6674ecf3634e32c7","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-2550.2","next":"us-ok/okla.-stat.-tit.-63-63-2550.4"},"notice":"GroundRules: Original legal text. Not legal advice."}