The US-412 bridge over the Neosho River looks like it can just get under the radar as far as Interstate standards go. The right shoulders on the bridge are certainly big enough. The inner left shoulders measure 4-5 feet width. I have a feeling the higher ups might let that slide. They don't need a full lane width on the inner left shoulder.
The immediate intersection on the West side of the river (OK-412B) may have to be grade separated with no exit ramps at all. There's no room. I can see ODOT building a new 2-lane access road parallel to US-412 over to the N4335/US-412 intersection where there is more space for a standard diamond shaped exit. Really they may have to build at least one 2-lane parallel access road from OK-412B out to the US-69 interchange, if not just build a pair of flanking frontage roads. Or they could do a mix of both to minimize property takings. Still, I see no reason to replace that Neosho River bridge.