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STATE OF OKLAHOMA
2nd Session of the 60th Legislature (2026)
HOUSE BILL 3699 By: Pogemiller
AS INTRODUCED
An Act relating to Medicaid; directing the Oklahoma
Health Care Authority to apply for waivers or state
plan amendments; providing services the supplemental
reimbursement rate shall be used for; providing that
the rate shall be reviewed periodically; directing
certain physician practices and other entities or
individuals to work with certain entities; directing
the Oklahoma Health Care Authority to keep certain
letter on file; and providing an effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 4010 of Title 56, unless there
is created a duplication in numbering, reads as follows:
A. On or before January 1, 2027, the Oklahoma Health Care
Authority (OHCA) shall submit and apply for any federal waivers,
state plan amendments, or other authority necessary to:
1. Provide a supplemental reimbursement rate for physician
practices, community health workers, nonprofits, or other entities
or individuals enrolled in the patient-centered medical home program
that currently and actively participate in a team-based, evidence-
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based pediatric practice or family practice transformation model of
care; and
2. Collaborate with experts in pediatric health care to select
team-based, evidence-based pediatric practice transformation models
of care most appropriate for use with the patient-centered medical
home program.
B. The supplemental reimbursement rate described in subsection
A of this section shall:
1. Supplement fee-for-service wellness visit rates in a child's
medical home program from birth until a child's fourth birthday;
2. Support the physician practices, community health care
workers, nonprofits, or other entities or individuals enrolled in
the patient-centered medical home program to employ
interdisciplinary staff required to implement the patient-centered
medical home program, including screening completion, or follow the
Bright Futures recommendations for screenings at nine (9) months,
eighteen (18) months and thirty (30) months or as stated by American
Academy of Pediatrics Bright Future guidelines with fidelity; and
3. Be reviewed periodically in conjunction with future Medicaid
rate reviews for physician services.
C. A physician practice, community health worker, nonprofit, or
other entity or individual enrolled in the patient-centered medical
home program shall work with an entity that utilizes data and
outcomes to demonstrate adherence to a team-based, evidence-based
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pediatric practice transformation model of care focused on young
children and families.
D. The OHCA shall keep on file a letter, updated annually,
verifying that the physician practice, community health worker,
nonprofit, or other entity or individual enrolled in the patient-
centered medical home program actively participates in a team-based,
evidence-based pediatric practice transformation model of care.
SECTION 2. This act shall become effective November 1, 2026.
60-2-14410 CMA 01/07/26