The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. Last updated: October 11, 2017. For immediate assistance with claim research or resolution of other Oklahoma SoonerCare issues contact the OHCA Call Center at (405) 522-6205 or (800) 522-0114. OHCA Level of Care Evaluation (PASSR for persons with possible mental illness) (405) 522-7133 or (405) 522-7674. Their website makes it very easy to find out the eligibility requirements. OHCA Provider Services and Training. It is called SoonerCare. Contact the Internet Help Desk at 800-522-0114, option 2, then 1; or 2. Required fields are marked with an asterisk ( * ). (800) 522-0114. Effective Dec. 1, OHCA will open coverage for COVID-19 related lab services CPT 87636 and 87637 (see code descriptions below). To assist the provider education specialists in planning and structuring the visit or group training, the following information should be emailed to SoonerCareEducation@okhca.org: Point of contact if additional information is needed prior to the event. SoonerCareEducation@okhca.org. For those hoping to qualify for Medicaid and looking for assistance with the application process, it is important to recognize that the state is not always the … This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Currently scheduled trainings can be seen on our Training Page. (Hours: 8 a.m. – 5 p.m. If you are a foster parent and you wish to speak with the Foster Care Ombudsman about any questions or concerns, please call (405) 522-2720 or 1 … If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Oklahoma Medicaid office. By logging on to the secure SoonerCare Provider Portal site. OHCA Long Term Care Claims. Communicates and advises providers on updates to the SoonerCare program. A telephonic or virtual visit with a provider education specialist may be requested for specific training on a topic. The following programs are a part of SoonerCare: Aged, Blind and Disabled; Family Planning; Health Care for Children with Disabilities (TEFRA); and Health Screening, Diagnosis and Treatment (EPSDT). SoonerCare Lodging and/or Meals Request Form (referral form). Last Updated:
You can also call the Federally Facilitated Marketplace (FFM) at 1-800-318-2596 and request a paper application. Legal: Appeals/Grievances. Oklahoma Medicaid Overview. Oklahoma SoonerCare has a team of educational specialists with in-depth knowledge of SoonerCare billing requirements and claim processing procedures. the SoonerCare Provider ID Number and Eligibility Verification System (EVS) PIN. Please make sure your email address(es), phone number(s) and location are up to date, so you can receive all pertinent OHCA communications. Applicants who want to use a paper form can download a form from the federal website or healthcare.gov. One-on-one and group training sessions can also be arranged at the request of individual provider groups or associations. I’ve been writing a series of blogs about the Medicaid programs of individual states. Download the Provider Quick Reference Guide here. As noted in the bulletin dated 6/1/2020, many DME items became available for coverage under the ADvantage Member's SoonerCare benefit instead of under the ADvantage Waiver as of 8/1/2020.. MSU AA has continued approving many items on ADvantage Member's service plans during the transition to … SoonerCare is Oklahoma’s Medicaid program. Our goal is to assist the provider network with claims resolution, programs education and policy interpretation. Download the … This plan would add the new adult group ages 19-64 with incomes at or below 133% of the federal poverty level, which is $34,846 for a family of four. Contact Information. Mon., Tues., Thurs., Fri., and 1 – 5 p.m. Wed.) Please remember that all SoonerCare-contracted providers are responsible for keeping their provider file current. Meet financial income and resources standards in certain categories. To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to. 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