Oklahoma § 36-6570.3 Adverse determinations to be made by physician or

Oklahoma Statutes

§ 36-6570.3 — Adverse determinations to be made by physician or

Oklahoma § 36-6570.3

Title 36Insurance

This text of Oklahoma § 36-6570.3 (Adverse determinations to be made by physician or) is published on Counsel Stack Legal Research, covering Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Okla. Stat. tit. 36, § 36-6570.3 (2026).

Text

licensed mental health professional. A utilization review entity shall ensure that all adverse determinations are made by a physician or licensed mental health professional. The physician or licensed mental health professional shall: 1. Possess a current and valid nonrestricted license in any United States jurisdiction; 2. Have the appropriate training, knowledge, or expertise to apply appropriate clinical guidelines to the health care service being requested; and 3. Make the adverse determination under the clinical direction of one of the utilization review entity's medical directors who is responsible for the provision of reviewing health care services to enrollees of Oklahoma. All such medical directors must be physicians licensed in any United States jurisdiction.

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licensed mental health professional. A utilization review entity shall ensure that all adverse determinations are made by a physician or licensed mental health professional. The physician or licensed mental health professional shall: 1. Possess a current and valid nonrestricted license in any United States jurisdiction; 2. Have the appropriate training, knowledge, or expertise to apply appropriate clinical guidelines to the health care service being requested; and 3. Make the adverse determination under the clinical direction of one of the utilization review entity's medical directors who is responsible for the provision of reviewing health care services to enrollees of Oklahoma. All such medical directors must be physicians licensed in any United States jurisdiction.