{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-5061.1","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-5061.1","heading":"I/T/U Shared Savings Program","body":"A. The purpose of this act is to maximize and direct the\n\nreinvestment of any savings to the Oklahoma Health Care Authority\n\ngenerated by enhanced federal matching authorized under Section\n\n1905(b) of the Social Security Act at a rate of one hundred percent\n\n(100%) for covered services received through participating Indian\n\nHealth Service, Tribal and Urban Indian (I/T/U) facilities.\n\nB. There is hereby created the I/T/U Shared Savings Program.\n\nPursuant to guidance of the Centers for Medicare \u0026 Medicaid Services\n\n(CMS), authorized services provided by a non-I/T/U Medicaid provider\n\nto an American Indian or Alaska Native (AI/AN) Medicaid beneficiary\n\nas a result of a referral from an I/T/U facility provider may be\n\neligible for the enhanced federal matching rate of one hundred\n\npercent (100%).\n\nC. 1. The Authority shall distribute up to fifty percent (50%)\n\nof any savings that result from the I/T/U Shared Savings Program\n\nprovided for in this section to participating I/T/U facilities that\n\nhave complied with the terms of this act and applicable federal law,\n\nbut only after administrative costs incurred by the Authority in\n\nimplementing the I/T/U Shared Savings Program have been fully\n\nsatisfied.\n\n2. Distributions to participating I/T/U facilities shall be\n\nused to increase care coordination and to support health care\n\ninitiatives for AI/AN populations.\n\n3. The Authority shall deposit any shared savings that remain\n\nafter administrative costs have been fully paid, and after\n\ndistributions have been made to participating I/T/U facilities, into\n\nthe I/T/U Shared Savings Revolving Fund created in Section 2 of this\n\nact for the purpose of increasing Medicaid provider rates. Monies\n\nin the fund shall not be used to replace other general revenues\n\nappropriated and funded by the Legislature or other revenues used to\n\nsupport Medicaid.\n\nD. 1. All actions taken by the Authority in implementing the\n\nI/T/U Shared Savings Program shall be made in accordance with\n\napplicable state and federal Medicaid law and CMS State Health\n\nOfficial letter (SHO) #16-002, issued on February 26, 2016, and CMS\n\nFrequently Asked Questions (FAQs) regarding \"Federal Funding for\n\nServices 'Received Through' an IHS/Tribal Facility and Furnished to\n\nMedicaid-Eligible American Indians and Alaska Natives (SHO #16-002)\"\n\nissued on January 18, 2017, and as such guidance may be hereinafter\n\namended or modified.\n\n2. The Authority shall make distributions to a participating\n\nI/T/U facility in accordance with paragraph 1 of subsection C of\n\nthis section, contingent upon the production of executed copies of\n\nCare Coordination Agreements (CCAs) for all services billed to\n\nOklahoma Medicaid that were received through the I/T/U facility.\n\nCCAs must be executed between the I/T/U facility and the non-I/T/U\n\nprovider and must include, at a minimum, assurances that care\n\ncoordination shall involve:\n\na. the I/T/U facility practitioner providing a request\n\nfor specific services by electronic or other\n\nverifiable means and relevant information about the\n\npractitioner's patient to the non-I/T/U provider,\n\nb. the non-I/T/U provider sending information about the\n\ncare the non-I/T/U provider provides to the patient\n\nincluding the results of any screening, diagnostic or\n\ntreatment procedures, to the I/T/U facility\n\npractitioner,\n\nc. the I/T/U facility practitioner continuing to assume\n\nresponsibility for the patient's care by assessing the\n\ninformation and taking appropriate action including,\n\nwhen necessary, furnishing or requesting additional\n\nservices, and\n\nd. the I/T/U facility incorporating the patient's\n\ninformation in the medical record through the\n\nstatewide health information exchange or other agreed-\n\nupon means.\n\nE. The Oklahoma Health Care Authority Board is authorized to\n\npromulgate administrative rules and to enter into contractual\n\nagreements with I/T/U facilities as needed to effectuate the\nishing or requesting additional\n\nservices, and\n\nd. the I/T/U facility incorporating the patient's\n\ninformation in the medical record through the\n\nstatewide health information exchange or other agreed-\n\nupon means.\n\nE. The Oklahoma Health Care Authority Board is authorized to\n\npromulgate administrative rules and to enter into contractual\n\nagreements with I/T/U facilities as needed to effectuate the\n\nprovisions of this act. As part of the rulemaking process, the\n\nAuthority shall comply with the Tribal Consultation Requirements\n\nprovided by the Medicaid State Plan.\n\nF. The Authority shall promptly seek any necessary federal\n\napproval for the implementation of this act. In the event that any\n\nnecessary federal approval is not obtained, or in the event funding\n\nof Oklahoma Medicaid from state, federal or other sources is\n\nwithdrawn, reduced or limited in any way that affects implementation\n\nof the I/T/U Shared Savings Program, the I/T/U Shared Savings\n\nProgram may be terminated immediately by the Authority, and no court\n\nor tribunal shall have jurisdiction to review such termination.","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":"8a8a73e61a191122c19e25147ab95e65bece0ba90cb23a9e3f7622bb495e5f4a","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-5060","next":"us-ok/okla.-stat.-tit.-63-63-5061.2"},"notice":"GroundRules: Original legal text. Not legal advice."}