For Immediate Release:
January 27, 2026
Oklahoma Insurance Department is Leading the Way on Innovative Provider Directory Pilot Program
OKLAHOMA CITY— The Oklahoma Insurance Department (OID) established a first-of-its-kind pilot program for providers participating in a Qualified Health Plan (QHP). The pilot will implement an automated, one-stop shop statewide that allows QHPs and providers to submit and access pre-populated provider data to improve accuracy and reduce burden.
“Oklahoma has taken the lead in working with officials at the federal level to pioneer this pilot program,” said Oklahoma Insurance Commissioner Glen Mulready. “I thank everyone who has provided feedback and made this partnership successful.”
OID issued Bulletin No. 2025-03 in May 2025 as the pilot program officially launched. Since its inception, OID has worked closely with the Centers for Medicare & Medicaid Services, as well as issuers, providers, health systems, consumer groups, and other interested parties on this project. The pilot program was recently extended until March 2026.
This pilot program aims to:
- Reduce the burden for providers and QHP issuers by providing a one-stop approach that minimizes or eliminates the need for providers and health care organizations to update information in multiple locations across multiple plans, while also reducing the time that issuers must spend requesting and tracking updates from network providers.
- Provide a streamlined and interoperable solution that will use Health Level Seven International® (HL7®) Fast Healthcare Interoperability Resources® (FHIR®) standards and support data exchange with issuers, leading to improved data consistency, reduced data discrepancy, and better collaboration among stakeholders.
- Improve data accuracy by using a specially designed data cleansing method to review and aggregate existing federal and state data, resulting in an updated database of provider information.
- Benefit consumers by ensuring health plans have access to accurate and current provider data, which they can then post to their individual websites for consumers to view.
As of January 2026, approximately 20% of Oklahoma providers participating in a QHP have verified their information in the statewide directory, with an average verification time of 4 minutes per profile. Now that technical requirements have been successfully established, the pilot moves into a phase focused on provider participation. To make this pilot a success, all Oklahoma providers, organizational administrators, or their delegates participating in a QHP should log into the QHP Directory Pilot Portal to update and verify their information, available at: https://www.cms.gov/qhpdirectorypilot.
CMS has provided a fact sheet and FAQ document that provide additional information about this project. Regulated entities can direct questions regarding Bulletin 2025-03 or the pilot program to Brian Downs (brian.downs@oid.ok.gov) or Ashley Scott (ashley.scott@oid.ok.gov).