The name of the state program is SoonerCare. Visit your local county office to apply for services. You may be trying to access this site from a secured browser on the server. Field representatives travel multiple days per week, therefore please allow a minimum of 48 hours for telephone calls and emails to be returned. Contact Information. (800) 522-0114. Wednesday, December 16: You may experience intermittent connectivity to the Oklahoma Health Care Authority website between 4 p.m. and 10 p.m. We apologize for any inconvenience this may cause. SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability. Applicants who want to use a paper form can download a form from the federal website or healthcare.gov. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. 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. Reviews and process retrospective administrative referrals for the SoonerCare specialty provider network. Required fields are marked with an asterisk ( * ). Be a U.S. citizen or qualified alien (most immigrants who arrived after August 22, 1996 are barred from the program for five years); 3. One-on-one and group training sessions can also be arranged at the request of individual provider groups or associations. You can also call the Federally Facilitated Marketplace (FFM) at 1-800-318-2596 and request a paper application. If you need more help, please call (800) 987-7767. In the table below are direct links to each states’ Medicaid office website. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. OHCA Provider Services and Training. ​SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability. If you must travel a long distance that requires an overnight stay in order to access SoonerCare approved medical services with a specialist doctor, then you can contact the Population Care Management Division at 877-252-6002 to … Our team consists of professional representatives who are committed to establish a long-term partnership with our network providers. Call 1-800-987-7767 and ask for an agency or community partner location near you. September 13, 2016, Health Care for Children with Disabilities (TEFRA), Health Screening, Diagnosis and Treatment (EPSDT). Forgot your PIN? SoonerCare Lodging and/or Meals Request Form (referral form). When providers are performing medically necessary polymerase chain reaction (PCR), laboratory testing for combinations of COVID-19 and Influenza A&B, or combinations of COVID-19, Influenza A&B and RSV, these are the appropriate codes to bill. Their website makes it very easy to find out the eligibility requirements. Reside in Oklahoma; 2. 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. Conducts virtual or telephonic educational meetings with providers. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Eligibility, How to Apply and Contact Information. 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 … No submissions received after Aug. 15, 2005 will be accepted. Please turn on JavaScript and try again. Develops educational materials for provider staff to enhance their understanding of the SoonerCare programs. SoonerCare is Oklahoma’s Medicaid program. Last Updated: 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. Works with other entities to coordinate resolution of provider issues. SoonerCare (Oklahoma Medicaid) is a health coverage program that offers a variety of health care services for 1 in 4 Oklahomans. See reviews, photos, directions, phone numbers and more for Sooner Care Customer Service Help Desk Phone Number locations in Oklahoma City, OK. 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. … Insure Oklahoma's Employer Sponsored Insurance plan helps employers provide their eligible employees with affordable health care. Training newly enrolled providers and billers on the SoonerCare Provider Portal. Oklahoma Medicaid Overview. Find SoonerCare Psychiatrists in Oklahoma, ... Make sure to double check your email address or phone number so that the psychiatrist can get back to you. OHCA Level of Care Evaluation (PASSR for persons with possible mental illness) (405) 522-7133 or (405) 522-7674. Prenez rendez-vous rapidement et simplement grâce à SoonCare®. Find 181 listings related to Sooner Care Customer Service Help Desk Phone Number in Oklahoma City on YP.com. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Download the Provider Quick Reference Guide here. Providers may request assistance from a provider education specialist by emailing SoonerCareEducation@okhca.org. Researches and resolves legislative inquiries. Identity and citizenship information, or alien registration information. SoonerCareEducation@okhca.org. Please enable scripts and reload this page. Income information including employer name, address and phone number, of all household members who are employed. Oklahoma Health Care Authority Website. 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 (Medicaid) Eligibility Tool Medicare Eligibility Tool Phone: (405) 521-3679 Fax: (405) 521-4158 Sequoyah Memorial Office Building 2400 Lincoln Blvd. 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. Proof of appointment must include the member’s name, phone number and SoonerCare ID number; the date, check in time, and duration of the appointment or procedure. These can include current or new information about program policies and procedures. Email us. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Oklahoma Medicaid office. To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to. Download the … Establishing and maintaining relationships with contracted providers to insure correct claim adjudication and resolution. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. Federal / State Health Policy. To qualify for SoonerCare, a person must: 1. If you have been previously diagnosed with breast or cervical cancer and are still undergoing treatment and meet all of the other eligibility criteria, you may be eligible for this program. Answers complex telephone and written inquiries, correspondence, secure e-mails and complaints. The main focus of an educational specialist is: Webinars, including SoonerCare 101 training sessions, are scheduled monthly to educate providers on Oklahoma SoonerCare claim processing procedures, billing requirements and policy updates. Oklahoma SoonerCare has a team of educational specialists with in-depth knowledge of SoonerCare billing requirements and claim processing procedures. SoonCare® accélère les échanges entre les patients et l'équipe médicale Download the Provider Quick Reference Guide here. 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. Plans and participates in webinars for provider virtual trainings. ICD-10 update OHCA completed a beta round of external provider testing on August 29, 2014, and completed the Legal: Appeals/Grievances. A telephonic or virtual visit with a provider education specialist may be requested for specific training on a topic. Contact the Internet Help Desk at 800-522-0114, option 2, then 1; or 2. 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. Researches and interprets Oklahoma SoonerCare policies for providers and other state agencies and educates staff within OHCA and its contracted partners. Coordinate with Provider Enrollment to facilitate local and out-of-state contracts. In addition to providing training through virtual visits and webinars, staff can also assist providers with contract renewals through Electronic Provider Enrollment. If you have questions about the types of documentation you may need to show proof of your eligibility, see the sources of proof guide. Enter your ATN and SSN or FEIN number to review your application status. Eligible individuals may also participate in the Insure Oklahoma Individual Plan to have affordable health care. SoonerCare members, please provide us a list with the following information: Name of Child RID (Recipient Identification Designator) number Date of Service Please include (provider) name, provider number, contact name, and phone number. Fax a completed SoonerCare Lodging &/or Meals Request form or member’s proof of appointment. Effective Dec. 1, OHCA will open coverage for COVID-19 related lab services CPT 87636 and 87637 (see code descriptions below). Oklahoma Health Care Authority Website. OHCA’s Provider Services unit is committed to professional and efficient service while maintaining a strong provider base through recruitment, retention and advocacy for the SoonerCare provider community. Please make sure your email address(es), phone number(s) and location are up to date, so you can receive all pertinent OHCA communications. This website is not compatible with Internet Explorer. Communicates and advises providers on updates to the SoonerCare program. If you must travel a long distance that requires an overnight stay in order to access SoonerCare approved medical services with a specialist doctor, then you can contact the Population Care Management Division at 877-252-6002 to request help with lodging and/or meals during your trip. 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 … Currently scheduled trainings can be seen on our Training Page. If you are experiencing difficulties, please try a different Internet browser (Chrome, Firefox, Edge or Safari). The request will increase the number of adult Oklahomans who qualify for SoonerCare benefits. Oklahoma is among the states that make it very simple for people to discover if they are eligible for SoonerCare. It is called SoonerCare. Oklahoma Health Care Authority Pharmacy. 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 … Amount of money received from other types of income. These opportunities will be announced through broadcast and banner messages, web alerts and newsletters. ATN (Application Tracking Number): Lodging and/or Meals Services. Training is offered on billing through the Provider Portal and use of the Eligibility Verification System (EVS) and Electronic Data Interchange (EDI). 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. Social Security numbers and birthdates of people in your home. Call toll free (800) 522-0114, option 5 for Provider Contracts. To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to My SoonerCare . We will process all submissions at one time. To: ADvantage DME and Case Management Providers. the SoonerCare Provider ID Number and Eligibility Verification System (EVS) PIN. (405) 522-7641. By logging on to the secure SoonerCare Provider Portal site. Last updated: October 11, 2017. Meet financial income and resources standards in certain categories. 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. Oklahoma City, OK 73105 Mailing Address: PO Box 25352 Oklahoma City, OK 73125 Visit … Our goal is to assist the provider network with claims resolution, programs education and policy interpretation. Medicaid (SoonerCare) is health care for eligible persons who … It looks like your browser does not have JavaScript enabled. I’ve been writing a series of blogs about the Medicaid programs of individual states. Call the Oklahoma State Department of Health to find out how. Please remember that all SoonerCare-contracted providers are responsible for keeping their provider file current. 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