| Chapter 25 | SOONERCARE |
| SubChapter 1 | HEALTH PLAN COMPETITIVE BID REQUIREMENTS [REVOKED] |
| 317:25-1-1. | Purpose [REVOKED] |
| 317:25-1-2. | Definitions [REVOKED] |
| 317:25-1-3. | General purchasing provisions [REVOKED] |
| 317:25-1-4. | Health Plan registration [REVOKED] |
| 317:25-1-5. | Health Plan retention and removal from bidder list [REVOKED] |
| 317:25-1-6. | Submission of bids [REVOKED] |
| 317:25-1-7. | Bid openings [REVOKED] |
| 317:25-1-8. | Award of bid [REVOKED] |
| 317:25-1-9. | Best and final offer (BFO) or additional negotiation processes [REVOKED] |
| 317:25-1-10. | Terms and conditions for acceptable bids [REVOKED] |
| 317:25-1-11. | Challenge of award [REVOKED] |
| 317:25-1-12. | Administrative review [REVOKED] |
| 317:25-1-13. | Confidentiality [REVOKED] |
| SubChapter 3 | HEALTH MAINTENANCE ORGANIZATIONS [REVOKED] |
| 317:25-3-1. | Health Maintenance Organizations [REVOKED] |
| 317:25-3-2. | Public managed care plans [REVOKED] |
| 317:25-3-2.1. | Reinsurance [REVOKED] |
| 317:25-3-2.2. | Health Care Authority Risk Control Program [REVOKED] |
| 317:25-3-3. | Quality Assurance credentialing and recredentialing requirements [REVOKED] |
| SubChapter 5 | SOONERCARE PLUS [REVOKED] |
| Part 1 | GENERAL PROVISIONS |
| 317:25-5-1. | Purpose [REVOKED] |
| 317:25-5-2. | SoonerCare Plus overview [REVOKED] |
| 317:25-5-3. | Definitions [REVOKED] |
| 317:25-5-4. | Health Plan proposals to the Oklahoma Health Care Authority and the DUR for modifying medication coverage [REVOKED] |
| 317:25-5-5. | Contractor payments to providers [REVOKED] |
| Part 3 | ENROLLMENT CRITERIA |
| 317:25-5-10. | Enrollment in SoonerCare Plus [REVOKED] |
| 317:25-5-11. | Geographic Coverage Areas [REVOKED] |
| 317:25-5-12. | Enrollment requirements [REVOKED] |
| 317:25-5-13. | Enrollment ineligibility [REVOKED] |
| 317:25-5-14. | Availability of plan choices [REVOKED] |
| Part 5 | ENROLLMENT PROCESS |
| 317:25-5-25. | Recipient enrollment process [REVOKED] |
| 317:25-5-26. | Automatic re-enrollment [REVOKED] |
| 317:25-5-27. | Primary care provider selection or assignment [REVOKED] |
| 317:25-5-28. | Disenrollment from a Health Plan by the client [REVOKED] |
| 317:25-5-29. | Termination of a client's enrollment by the Health Plan [REVOKED] |
| 317:25-5-30. | Plan benefit package [REVOKED] |
| 317:25-5-31. | Obtaining Medicaid services not covered under the plan [REVOKED] |
| 317:25-5-32. | Emergency and family planning services [REVOKED] |
| Part 7 | PLAN REQUIREMENTS |
| 317:25-5-40. | Health Plan Qualifications for Participation [REVOKED] |
| 317:25-5-41. | Primary Care Provider (PCP) [REVOKED] |
| 317:25-5-41.1. | Medical residents serving as primary care providers [REVOKED] |
| Part 9 | SPECIAL PROVISIONS |
| 317:25-5-50. | Supplemental payments to medical schools [REVOKED] |
| SubChapter 7 | SOONERCARE |
| Part 1 | GENERAL PROVISIONS |
| 317:25-7-1. | Purpose |
| 317:25-7-2. | SoonerCare Choice: overview |
| 317:25-7-2.1. | Medical residents [REVOKED] |
| 317:25-7-3. | Definitions |
| 317:25-7-4. | Credentialling and e-credentialling [REVOKED] |
| 317:25-7-5. | Primary care providers |
| 317:25-7-6. | Primary Care Provider responsibilities |
| 317:25-7-7. | Referrals for specialty services |
| Part 3 | ENROLLMENT CRITERIA |
| 317:25-7-10. | Enrollment with a Primary Care Provider |
| 317:25-7-11. | Geographic coverage areas |
| 317:25-7-12. | Enrollment/eligibility requirements |
| 317:25-7-13. | Enrollment ineligibility |
| Part 5 | ENROLLMENT PROCESS |
| 317:25-7-25. | Member enrollment process |
| 317:25-7-26. | Automatic re-enrollment |
| 317:25-7-27. | Changing PCPs |
| 317:25-7-28. | Disenrolling a member from SoonerCare |
| Part 7 | COORDINATION AND CONTINUITY OF CARE |
| 317:25-7-29. | Screening, diagnosis and preventive benefits |
| 317:25-7-30. | Obtaining SoonerCare services |
| Part 9 | REIMBURSEMENT |
| 317:25-7-40. | SoonerCare Choice reimbursement |
| SubChapter 9 | HEALTH ACCESS NETWORKS |
| 317:25-9-1. | Purpose |
| 317:25-9-2. | Requirements |
| 317:25-9-3. | Reimbursement |