Medicaid provider audits; terms; review of Medicaid providers or managed care organizations; penalties; retain records; production of records; promulgation of rules; determination of overpayments; credible allegations of fraud; methodology for audits; notice; informal conference; expedited adjudicatory proceeding; Oklahoma Health Care Authority; corrective action plans; qualifications for hearing officer; costs; preliminary or final determination for overpayment; effective date.

This Oklahoma bill requires Medicaid providers and managed care organizations to retain relevant records for six years. It authorizes the Oklahoma Health Care Authority to audit providers for fraud, contract breaches, or billing errors, with written notice required before audits. If violations are found, providers may face fines up to $5,000 per incident or lose their Medicaid contracts. The bill also establishes a faster process for resolving disputes over audit findings, including informal conferences and expedited hearings.