Oklahoma § 56-1011.4 - Database of clinical utilization information - Needs

§ 56-1011.4. Database of clinical utilization information - Needs

analysis - Electronic prescribing pilot program.

A. The Oklahoma Health Care Authority shall conduct a needs

analysis to design a database of clinical utilization information or

electronic medical records for Medicaid providers. This system

shall be web-based and allow providers to review on a real-time

basis the utilization of Medicaid services including, but not

limited to, office visits, inpatient and outpatient

hospitalizations, laboratory and pathology services, radiological

and other imaging services, dental care, and patterns of dispensing

prescription drugs in order to coordinate care and identify

potential fraud and abuse. The Oklahoma Health Care Authority shall

evaluate and report findings to the Governor and the Legislature by

January 1, 2008.

B. The Oklahoma Health Care Authority shall design and

implement an electronic prescribing pilot program. The pilot

program may include, but is not limited to, providing hardware,

software, and connectivity for a limited number of prescribers. The

prescribers who participate may be given vouchers for hardware,

software, and connectivity, or the Oklahoma Health Care Authority

may use direct vendor contracts. The Oklahoma Health Care Authority

shall:

1. Within the messaging capabilities of the electronic

prescribing system alert prescribers when patients are prescribed

multiple drugs that may be duplicative, contraindicated, or have

other potential problems related either to other medications or

health status of the patient;

2. Track spending trends for prescription drugs and deviation

from best-practice guidelines and notify prescribers who

consistently fall outside those guidelines, comparing those

prescribers who are using the electronic prescribing system to those

Oklahoma Statutes - Title 56. Poor Persons

who are not in order to determine whether the pilot program should

be expanded; and

3. In conjunction with disease management programs or other

targeted interventions, alert prescribers to patients who fail to

refill ongoing or maintenance medication prescriptions in a timely

fashion.

C. A report of this pilot program shall be submitted to the

Governor and the Legislature no later than eighteen (18) months

after the start of the program.

Added by Laws 2006, c. 315, § 4, emerg. eff. June 9, 2006.