§ 1327. Health benefit plans offered by Office of Management and Enterprise Services--Optometri...
Oklahoma Statutes AnnotatedTitle 74. State Government
74 Okl.St.Ann. § 1327
§ 1327. Health benefit plans offered by Office of Management and Enterprise Services--Optometrists to be permitted to provide services for vision care or medical diagnosis and treatment for the eye
A. All health benefit plans offered by the Office of Management and Enterprise Services which provide for services for vision care or medical diagnosis and treatment for the eye shall allow optometrists to be providers of those services. All such health benefit plans shall also require equal payment for the same services provided by an optometrist if the services are within the scope of practice of optometry.
B. With respect to optometric services, any health benefit plan offered by the Office which uses a gatekeeper or equivalent for referrals for services for vision care or for medical diagnosis and treatment of the eye shall require such covered services be provided on a referral basis within the medical group or network at the request of an enrollee who has a condition requiring vision care or medical diagnosis and treatment of the eye if:
C. All health benefit plans offered by the Office shall have a defined set of standards and procedures for selecting providers, including specialists, to serve enrollees. The standards and procedures shall be drafted in such a manner that they are applicable to all categories of providers and shall be utilized by the health maintenance organization in a manner that is without bias for or discrimination against a particular category or categories of providers.
F. Existing health benefit plans offered by the Office shall comply with the requirements of this section upon issuance or renewal on or after the effective date of this act.1
Credits
Laws 2000, c. 54, § 4, eff. Nov. 1, 2000; Laws 2012, c. 304, § 971.
Footnotes
O.S.L.2000, c. 54, effective November 1, 2000.
74 Okl. St. Ann. § 1327, OK ST T. 74 § 1327
Current with emergency effective legislation through Chapter 3 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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