OAC 310:657-9-3
Access to services
Cite as Okla. Admin. Code § 310:657-9-3
(a) Medical and health services shall be provided or arranged in
the service area by the Plan.
OAC 310:657 OKLAHOMA STATE DEPARTMENT OF HEALTH
(b) Services shall be available to the Plan's employees with
reasonable promptness considering:
(1) Geographic location, hours of operation, and provisions
for after-hours services; and
(2) Staffing patterns and types of providers.
(c) A Plan whose service area is located in a nonmetropolitan
area may provide service outside its area if:
(1) The service is not primary or emergency care; and
(2) Providers in the area are not sufficient to offer the
service.
(d) The Plan shall ensure continuity of services using at least
the following:
(1) A provider responsible for coordinating the employee's
services; and
(2) A system to report on eligibility and services rendered to
the injured worker.
SUBCHAPTER 11. GRIEVANCE SYSTEM