OK| The Oklahoma Insurance Department (OID), in partnership with the Centers for Medicare and Medicaid Services (CMS), has launched a pilot program to create a centralized, automated provider directory for Qualified Health Plans (QHPs) in Oklahoma. This initiative aims to streamline provider data submissions, improve directory accuracy, and reduce administrative burden, serving as a potential model for a future National Directory of Healthcare. All QHP issuers in Oklahoma are now required to participate in this pilot, which is distinct from existing provider directory regulations and does not alter other statutory compliance obligations.
Key Points:
- The pilot establishes a statewide, one-stop directory for QHPs and providers to submit and access pre-populated provider data.
- CMS and OID are using this pilot to gather feedback and test functionality before statewide rollout, with user testing beginning soon.
- Participation in the pilot is mandatory for QHP issuers but does not replace or modify their responsibilities under Oklahoma’s existing provider directory laws.