§ 63-1-105e. Duties of Department of Health.

A.  The State Department of Health shall:

1.  Perform duties and responsibilities as directed by the State Commissioner of Health to ensure compliance with relevant provisions of this act;

2.  Fix and collect fees for the certification of compliance of health maintenance organizations pursuant to the provisions of Section 6907 of Title 36 of the Oklahoma Statutes; and

3.  Perform any and all health-related services, within the scope of practice, as prescribed by state law, by the State Board of Health, or by standards of care for medical services.  When the Department provides a health-related service to any person covered by an applicable health insurance plan, the Department may submit a claim for said service to the appropriate insurance company, health maintenance organization or preferred provider organization.  Upon receipt of the claim, said insurance company, health maintenance organization or preferred provider organization shall reimburse the Department for the service provided in accordance with the standard and customary rate schedule established by the plan.  All health insurance plans doing business in Oklahoma shall recognize the public health service delivery model utilized by the Department, as an appropriate provider of services for reimbursement.

B.  All actions of the Department shall be subject to the provisions of the Administrative Procedures Act.

C.  Fees and insurance reimbursement payments collected shall be deposited in the Public Health Special Fund in the State Treasury.

Added by Laws 2003, c. 197, § 54, eff. Nov. 1, 2003.  Amended by Laws 2011, c. 105, § 1, eff. Nov. 1, 2011.