Okla. Admin. Code § 810:15-11-3

Current through Vol. 42, No. 4, November 1, 2024

Section 810:15-11-3 - Revocation

(a) Removal of a case manager from the list of qualified independent medical case managers shall be at the request of the case manager, or by the Commission after notice and opportunity for hearing.

(b) Grounds for removal include, but are not limited to:

(1) a material misrepresentation on the MCM Application for appointment to the list of qualified independent medical case managers;

(2) refusal or substantial failure to notify the Commission of any change affecting the case manager's qualifications as provided by statute or 810:15-11-1; or

(3) refusal or substantial failure to comply with this Subchapter, or other applicable Commission rules, statutes or orders in the specific case assigned.

(c) Proceedings related to revocation shall be governed by 810:10-5-50 on show cause hearings and the contested hearings rules set forth in Subchapter 5 of Chapter 10 of this Title.

(d) In arriving at a determination regarding whether to remove a case manager from the list, the Commission may consider the character of the alleged violation and all of the attendant circumstances, and may confer with the Physician Advisory Committee created in 85A O.S., § 17, or other public or private medical or case management consultants.

(e) A case manager whose qualification to serve as an independent medical case manager has been revoked by the Commission is not eligible to be selected as an independent medical case manager during the period of revocation.

Okla. Admin. Code § 810:15-11-3

Adopted by Oklahoma Register, Volume 32, Issue 23, August 17, 2015, eff. 8/27/2015