An appeal to the Chief Executive Officer (CEO) of the Oklahoma Health Care Authority includes:

• (1) Within 20 days of decisions made pursuant to provider or Program Integrity Audits/Reviews appeals found at this Chapter, either party may appeal a decision to the CEO of the OHCA.  Such appeal will be commenced by a letter or fax received by the CEO within 20 days of the receipt of the prior decision made by the ALJ or Medicaid Director.  The appeal will concisely and fully explain the reasons for the request.  No new evidence may be presented to the CEO.  Evidence presented must be confined to the records below.
• (2) Appeals to the CEO under member proceedings will be commenced by a letter received no later than 10 days of the receipt of the decision by the ALJ.  Should the appellant request a transcription to prosecute its appeal to the CEO, the appellant will be required to execute a waiver relieving the OHCA from completing its fair process hearing within 90 days.
• (3) For provider and Program Integrity Audits/Reviews proceedings, the CEO will ordinarily have 90 days from receipt of the appeal to render a written decision.
• (4) For member proceedings, the CEO will ordinarily have 30 days from receipt of the appeal to render a written decision.
• (5) The only appeal for proposed provider or member administrative sanctions is before the ALJ and the ALJ decision is not appealable to the CEO.