Oklahoma Statutes Citationized
Title 36. Insurance
Chapter 2 - Miscellaneous Provisions
Ensuring Transparency in Prior Authorization Act
Section 6570.10 - Honoring of Prior Authorization - Timing - Eligibility to Review
Cite as: 36 O.S. § 6570.10 (OSCN 2026), Ensuring Transparency in Prior Authorization Act
A. On receipt of information documenting a prior authorization from the enrollee or from the enrollee's health care provider, a utilization review entity shall honor a prior authorization granted to an enrollee from a previous utilization review entity for at least the initial sixty (60) days of an enrollee's coverage under a new health plan.
B. During the time period described in subsection A of this section, a utilization review entity may perform its own review to grant a prior authorization or make an adverse determination.
C. A utilization review entity shall continue to honor a prior authorization it has granted to an enrollee when the enrollee changes products under the same health insurance company for the initial sixty (60) days of an enrollee's coverage under the new product unless the service is no longer a covered service under the new product.
Historical Data
Laws 2024, HB 3190, c. 303, § 11, eff. January 1, 2025.
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