Oklahoma § 36-6570.5 - Prior Authorization Application Programming Interface
Full text of Oklahoma Oklahoma Statutes § 36-6570.5 — Prior Authorization Application Programming Interface, with citation guidance and answers to common questions.
§ 36-6570.5. Prior Authorization Application Programming Interface
requirement.
A. For plan years beginning on or after January 1, 2027, a
health benefit plan must implement and maintain a Prior
Authorization Application Programming Interface (API), as described
in 45 C.F.R. Part 156.
B. By July 1, 2027, health care providers must have electronic
health records or practice management systems that are compatible
with the API.
C. As of the effective date of this act, a utilization review
entity must provide health care providers with the following
opportunities for communication during the prior authorization
process:
1. Make staff available at least eight (8) hours a day during
normal business hours for inbound telephone calls regarding prior
authorization issues;
2. Allow staff to receive inbound communication regarding prior
authorization issues after normal business hours; and
3. Provide a treating provider with the opportunity to discuss
a prior authorization denial with an appropriate reviewer.
Added by Laws 2024, c. 303, § 6, eff. Jan. 1, 2025.
Frequently Asked Questions About Oklahoma § 36-6570.5
What does Oklahoma Statutes § 36-6570.5 cover?
Section 36-6570.5 ("Prior Authorization Application Programming Interface") is part of the Oklahoma Statutes, the codified statutory law of Oklahoma. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Oklahoma § 36-6570.5?
A common citation format is "Oklahoma Statutes § 36-6570.5" (Oklahoma). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Oklahoma law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Oklahoma official source linked on this page or consult a licensed Oklahoma attorney.
How does Oklahoma § 36-6570.5 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Oklahoma can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Oklahoma.