Oklahoma Medicaid Freeze of ABA Payments to Mirabelle Care Puts 500 Kids’ Therapy at Risk

A Freeze on the New Owner

OKLAHOMA CITY – Mirabelle Care says it will close its seven Oklahoma clinics at the end of the month unless the state resumes the Medicaid payments suspended in late June. The Oklahoma Health Care Authority (OHCA) halted the provider’s SoonerCare reimbursements, from Oklahoma’s Medicaid program, while the state attorney general investigates the billing practices of the clinics’ former owner, according to KFOR.

SoonerCare is the majority of Mirabelle’s revenue, board member Elizabeth Broomfield told KFOR. The company serves about 500 children, has roughly 500 more waiting for services, and employs 200 people, according to Chief Executive Amanda Ralston and Broomfield.

The suspension targets a company whose current owners are not the subject of the investigation. That gap, between who is under investigation and who loses the money, is the center of the fight now headed to court.

The Timeline

The attorney general’s office opened its investigation in November 2025. Mirabelle then missed its weekly state check on June 24, 2026, which OHCA held pending legal review according to BHB.

Aquitaine Capital, a women-owned investment firm, had acquired the business in January 2026 and rebranded it from Kids Choice to Mirabelle Care, Broomfield told KFOR. The conduct under investigation belongs to the former owner, Natalie Hisle. Federal investigators are also examining the prior owner, though they have told the company that Mirabelle itself is not the focus of a federal case.

The Federal Rule OHCA Cited

OHCA declined to confirm, deny, or comment on the investigation. In a statement, it said federal regulations “generally require the agency to suspend payments when there is a credible allegation of fraud and an investigation is pending,” and that it remains focused on “safeguarding taxpayer dollars.” The rule it refers to, 42 CFR 455.23, directs a state Medicaid agency to suspend payments once a credible fraud allegation is pending, unless the agency finds good cause not to.

Mirabelle argued good cause exists. OHCA rejected that. An OHCA attorney said that no exceptional circumstance has been demonstrated that warrants lifting or modifying the current payment suspension. Broomfield read the agency’s position back in plain terms.

“500 children losing health care, including in rural communities where there is no alternative, and 200 people losing their jobs, does not constitute a good cause to act. That is their position.” – Elizabeth Broomfield, President and Board Member, Mirabelle Care (2026)

What Families Stand to Lose

Several of the seven clinics sit in rural communities where Mirabelle is the only or one of the few ABA providers. In those markets, a closure leaves displaced children with no in-network alternative and waitlists that already run months.

Caleb Nutty, whose son is a Mirabelle client, described a year of gains he does not want interrupted: “Whether it be talking, potty training, little tics that he used to do that could hurt him that he no longer does. Just it’s like night and day,” he told KFOR. “The waiting lists are so long, too; there’s no telling when my son would be able to resume therapy.”

What Happens Next

Broomfield said Mirabelle is preparing to file for injunctive relief to force the state to resume payments while the investigation runs. The attorney general’s office declined to comment on the pending investigation but confirmed that the decision to reinstate payment rests with OHCA, not prosecutors. Without a court order or a reversal, the company says its seven clinics close at the end of July.

AT A GLANCE

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