Notice of Hearing
Changes in Reimbursement Rates and/or Methodology
For HealthChoice and Department of Corrections Professional Providers
[74 O.S. (2001) Section 1325]
11:00 a.m. October 5, 2012
Gene C. Howard Board Room
Fifth Floor – Landmark Towers
3545 N.W. 58th Street
Oklahoma City, OK 73112
Oklahoma State Statutes, Title 74, Chapter 37, Section 1325 requires the Employees Group Insurance Division (EGID) of the Office of Management and Enterprise Services to schedule a hearing thirty (30) days prior to adopting major changes to reimbursement rates or methodologies. EGID must notify providers at least fifteen (15) days prior to the hearing date. The hearing will be an open forum where providers will have the opportunity to comment on the proposed changes presented by EGID. In accordance with state statutes, this serves as notice regarding the date and time of this hearing:
Discussion of Proposed Professional Provider reimbursements effective January 1, 2013.
- Reimbursement of injectable drugs and related infusion/injection administration services
In August, 2012, EGID established a professional task force consisting of providers with high utilization of the proposed reimbursement methodology changes. A meeting was held with the task force presenting EGID’s original proposal based upon recommendations by EGID’s consultant, Berkeley Research Group (BRG). The task force provided written feedback which was reviewed by EGID Staff and BRG. A follow-up call was made with the task force where EGID responded to the major concerns including increasing the proposed reimbursement percentages from the original recommendation.
Beginning September 20, 2012, detailed descriptions of the proposed changes may be viewed at the OMES EGID website at www.ok.gov/sib/providers/. Alternatively, you may receive the material by email or through the U.S. Mail.
In lieu of or in addition to your attendance at the hearing, your written comments are solicited for consideration.
All questions, comments or requests should be directed by phone to 405-717-8790 / toll-free 1-800-543-6044, by fax to 405-717-8977, by email to firstname.lastname@example.org, or by mail to:
EGID - Provider Relations
3545 N.W. 58th, Suite 110
Oklahoma City, OK. 73112