Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 657 - Certified Workplace Medical Plans
Subchapter 9 - Geographic Service Areas
Section 310:657-9-1 - Access to providers

Universal Citation: OK Admin Code 310:657-9-1

Current through Vol. 42, No. 1, September 16, 2024

(a) The Commissioner shall presume a proposed service area to be reasonable if the mean travel time is thirty (30) minutes or less from six (6) points on the area boundary to the nearest primary care delivery sites in that area, and sixty (60) minutes or less to specialty service providers.

(b) The Commissioner may approve a service area with travel times of greater than thirty (30) minutes to primary services, or sixty (60) minutes to specialty services, based on the following:

(1) Providers are not available in the area;

(2) Providers are available but do not meet the Plan's reasonable credentialing requirements;

(3) Providers are unwilling or unable to enter a reasonable health services contract with the Plan;

(4) Residents of the area customarily travel longer times to reach medical and health providers; or

(5) Providers have access to air ambulance services to transport injured workers.

(c) OAC 310:657-9 shall be construed to foster Plans in all areas of Oklahoma. These provisions shall not be interpreted to threaten the health and safety of employees or to impair the present system of service delivery in Oklahoma.

Added at 12 Ok Reg 2977, eff 6-16-95 (emergency); Added at 13 Ok Reg 2127, eff 6-13-96; Amended at 23 Ok Reg 2404, eff 6-25-06

Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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