Oklahoma § 36-6570.5 Prior Authorization Application Programming Interface

Oklahoma Statutes

§ 36-6570.5 — Prior Authorization Application Programming Interface

Oklahoma § 36-6570.5

Title 36Insurance

This text of Oklahoma § 36-6570.5 (Prior Authorization Application Programming Interface) 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, § 36-6570.5 (2026).

Text

requirement.

A.For plan years beginning on or after January 1, 2027, a health benefit plan must implement and maintain a Prior Authorization Application Programming Interface (API), as described in 45 C.F.R. Part 156.

B.By July 1, 2027, health care providers must have electronic health records or practice management systems that are compatible with the API.

C.As of the effective date of this act, a utilization review entity must provide health care providers with the following opportunities for communication during the prior authorization process: 1. Make staff available at least eight (8) hours a day during normal business hours for inbound telephone calls regarding prior authorization issues; 2. Allow staff to receive inbound communication regarding prior authorization issues after no

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requirement. A. For plan years beginning on or after January 1, 2027, a health benefit plan must implement and maintain a Prior Authorization Application Programming Interface (API), as described in 45 C.F.R. Part 156. B. By July 1, 2027, health care providers must have electronic health records or practice management systems that are compatible with the API. C. As of the effective date of this act, a utilization review entity must provide health care providers with the following opportunities for communication during the prior authorization process: 1. Make staff available at least eight (8) hours a day during normal business hours for inbound telephone calls regarding prior authorization issues; 2. Allow staff to receive inbound communication regarding prior authorization issues after normal business hours; and 3. Provide a treating provider with the opportunity to discuss a prior authorization denial with an appropriate reviewer.