Medicaid reimbursements; minimum rates of reimbursements; discretionary; effective date.

HB 3361 sets minimum reimbursement rates for Medicaid providers in Oklahoma through July 2027. It requires contracted entities to pay participating providers 100% of the standard fee schedule rate and non-participating providers 90% of the 2021 rate. The bill mandates value-based payment plans for providers tied to quality metrics, while ensuring specific protections for pharmacies, rural health clinics, behavioral health clinics, and emergency medical services. It also requires contracted entities to spend at least 11% of healthcare expenses on primary care and updates capitation rates annually based on federal standards. The bill takes effect November 1, 2026.