A judge ordered Oklahoma's Medicaid agency to resume Mirabelle Care's SoonerCare payments and lift its November fraud suspension, the company says. The underlying investigation remains active.

OHCA cut off the company's six SoonerCare provider numbers after determining that a credible allegation of fraud existed, then waited 207 days to notify it. Mirabelle Care serves about 500 children across seven Oklahoma clinics, and in three Oklahoma towns it is the only ABA provider its patients have.

The reversal came through an emergency injunction. Elizabeth Broomfield, the company's president and a board member, said the judge reviewed more than 400 emails from families and employees attesting to the value of the services — a count she now puts closer to 500 — and ordered OHCA to immediately pay all amounts owed. Payments have resumed, she said, and patient services will continue without interruption. Mirabelle Care, which rebranded from KidsChoice in June, has said the conduct under scrutiny predated its January acquisition by a buyer group affiliated with Aquitaine Capital, one of many private-equity investors that have moved into behavioral health. Amanda Ralston, the chief executive the new owners installed in January, leads the seven-clinic operation, which offers applied behavior analysis along with speech and occupational therapy.

The resumed payments do not end the underlying fraud investigation, which the state Attorney General's office confirmed is active. The order also lands during a leadership change at the agency: Governor Kevin Stitt announced Wednesday that Clay Bullard would step down as the Authority's chief executive and return to the private sector, and named state Chief Financial Officer Aaron Morris its interim director. The governor's office did not connect the departure to any single matter, and Broomfield said the company looks forward to working with the new leadership and will cooperate fully with the agency.