Coordinate with Provider Enrollment to facilitate local and out-of-state contracts. In the table below are direct links to each states’ Medicaid office website. 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. 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. This website is not compatible with Internet Explorer. Applicants who want to use a paper form can download a form from the federal website or healthcare.gov. Call toll free (800) 522-0114, option 5 for Provider Contracts. SoonerCareEducation@okhca.org. Insure Oklahoma's Employer Sponsored Insurance plan helps employers provide their eligible employees with affordable health care. Federal / State Health Policy. Income information including employer name, address and phone number, of all household members who are employed. 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. To: ADvantage DME and Case Management Providers. Forgot your PIN? 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 … This data is treated as confidential and is stored securely in accordance with applicable law and regulations. It is called SoonerCare. 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. Visit your local county office to apply for services. See reviews, photos, directions, phone numbers and more for Sooner Care Customer Service Help Desk Phone Number locations in Oklahoma City, OK. SoonerCare Lodging and/or Meals Request Form (referral form). Oklahoma Health Care Authority Website. Training newly enrolled providers and billers on the SoonerCare Provider Portal. ATN (Application Tracking Number): 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. Last Updated: Email us. 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 … Subject: DME Changes Date: November 6, 2020. To qualify for SoonerCare, a person must: 1. 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. Conducts virtual or telephonic educational meetings with providers. Download the Provider Quick Reference Guide here. Fax a completed SoonerCare Lodging &/or Meals Request form or member’s proof of appointment. Training is offered on billing through the Provider Portal and use of the Eligibility Verification System (EVS) and Electronic Data Interchange (EDI). Reviews and process retrospective administrative referrals for the SoonerCare specialty provider network. Amount of money received from other types of income. Establishing and maintaining relationships with contracted providers to insure correct claim adjudication and resolution. Researches and interprets Oklahoma SoonerCare policies for providers and other state agencies and educates staff within OHCA and its contracted partners. Our goal is to assist the provider network with claims resolution, programs education and policy interpretation. Please remember that all SoonerCare-contracted providers are responsible for keeping their provider file current. Last updated: October 11, 2017. 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. ICD-10 update OHCA completed a beta round of external provider testing on August 29, 2014, and completed the Lodging and/or Meals Services. 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). … To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to My SoonerCare . Legal: Appeals/Grievances. Please make sure your email address(es), phone number(s) and location are up to date, so you can receive all pertinent OHCA communications. Oklahoma Health Care Authority Website. Currently scheduled trainings can be seen on our Training Page. You may be trying to access this site from a secured browser on the server. Medicaid (SoonerCare) is health care for eligible persons who … 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. We will process all submissions at one time. 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 … Develops educational materials for provider staff to enhance their understanding of the SoonerCare programs. 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. (405) 522-7641. If you are a foster parent and wish to file a complaint or grievance against a DHS employee, please call 1-866-335-9288 or file online at www.okfosterparentvoices.org. Current or recent health insurance information. 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. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. 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. To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to. Our team consists of professional representatives who are committed to establish a long-term partnership with our network providers. 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. Contact Information. September 13, 2016, Health Care for Children with Disabilities (TEFRA), Health Screening, Diagnosis and Treatment (EPSDT). The name of the state program is SoonerCare. One-on-one and group training sessions can also be arranged at the request of individual provider groups or associations. Oklahoma Medicaid Overview. Answers complex telephone and written inquiries, correspondence, secure e-mails and complaints. 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. Oklahoma is among the states that make it very simple for people to discover if they are eligible for SoonerCare. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Oklahoma Medicaid office. Communicates and advises providers on updates to the SoonerCare program. Oklahoma City, OK 73105 Mailing Address: PO Box 25352 Oklahoma City, OK 73125 Visit … Oklahoma SoonerCare has a team of educational specialists with in-depth knowledge of SoonerCare billing requirements and claim processing procedures. Reside in Oklahoma; 2. Effective Dec. 1, OHCA will open coverage for COVID-19 related lab services CPT 87636 and 87637 (see code descriptions below). 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. Please turn on JavaScript and try again. Call 1-800-987-7767 and ask for an agency or community partner location near you. Eligibility, How to Apply and Contact Information. A telephonic or virtual visit with a provider education specialist may be requested for specific training on a topic. OHCA Long Term Care Claims. 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 … Oklahoma Health Care Authority Pharmacy. 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 (Medicaid) Eligibility Tool Medicare Eligibility Tool Phone: (405) 521-3679 Fax: (405) 521-4158 Sequoyah Memorial Office Building 2400 Lincoln Blvd. The request will increase the number of adult Oklahomans who qualify for SoonerCare benefits. Call the Oklahoma State Department of Health to find out how. No submissions received after Aug. 15, 2005 will be accepted. 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. (Hours: 8 a.m. – 5 p.m. OHCA Level of Care Evaluation (PASSR for persons with possible mental illness) (405) 522-7133 or (405) 522-7674. Providers may request assistance from a provider education specialist by emailing SoonerCareEducation@okhca.org. (800) 522-0114. the SoonerCare Provider ID Number and Eligibility Verification System (EVS) PIN. These can include current or new information about program policies and procedures. Meet financial income and resources standards in certain categories. By logging on to the secure SoonerCare Provider Portal site. SoonerCare (Oklahoma Medicaid) is a health coverage program that offers a variety of health care services for 1 in 4 Oklahomans. 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. Their website makes it very easy to find out the eligibility requirements. 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. It looks like your browser does not have JavaScript enabled. Contact the Internet Help Desk at 800-522-0114, option 2, then 1; or 2. Works with other entities to coordinate resolution of provider issues. SoonerCare is Oklahoma’s Medicaid program. How To Use You can also call the Federally Facilitated Marketplace (FFM) at 1-800-318-2596 and request a paper application. The Oklahoma Health Care Authority administers the SoonerCare (Medicaid) program in Oklahoma. Social Security numbers and birthdates of people in your home. Identity and citizenship information, or alien registration information. Plans and participates in webinars for provider virtual trainings. If you need more help, please call (800) 987-7767. 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. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Download the Provider Quick Reference Guide here.