Field representatives travel multiple days per week, therefore please allow a minimum of 48 hours for telephone calls and emails to be returned. In addition to providing training through virtual visits and webinars, staff can also assist providers with contract renewals through Electronic Provider Enrollment. Call 1-800-987-7767 and ask for an agency or community partner location near you. Develops educational materials for provider staff to enhance their understanding of the SoonerCare programs. Identity and citizenship information, or alien registration information. Researches and resolves legislative inquiries. Lodging and/or Meals Services. 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. ATN (Application Tracking Number): SoonerCare is Oklahoma’s Medicaid program. Subject: DME Changes Date: November 6, 2020. Enter your ATN and SSN or FEIN number to review your application status. 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’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. OHCA Long Term Care Claims. This website is not compatible with Internet Explorer. Oklahoma Health Care Authority Website. ​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. (405) 522-7641. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Oklahoma Medicaid office. Meet financial income and resources standards in certain categories. Works with other entities to coordinate resolution of provider issues. The Oklahoma Health Care Authority administers the SoonerCare (Medicaid) program in Oklahoma. To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to My SoonerCare . Oklahoma Health Care Authority Pharmacy. September 13, 2016, Health Care for Children with Disabilities (TEFRA), Health Screening, Diagnosis and Treatment (EPSDT). Training is offered on billing through the Provider Portal and use of the Eligibility Verification System (EVS) and Electronic Data Interchange (EDI). Effective Dec. 1, OHCA will open coverage for COVID-19 related lab services CPT 87636 and 87637 (see code descriptions below). Their website makes it very easy to find out the eligibility requirements. Download the … 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 … 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 … 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. Call toll free (800) 522-0114, option 5 for Provider Contracts. Download the Provider Quick Reference Guide here. 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. To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to. 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. (800) 522-0114. Answers complex telephone and written inquiries, correspondence, secure e-mails and complaints. 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. Federal / State Health Policy. If you are experiencing difficulties, please try a different Internet browser (Chrome, Firefox, Edge or Safari). Fax a completed SoonerCare Lodging &/or Meals Request form or member’s proof of appointment. Oklahoma Health Care Authority Website. Eligibility, How to Apply and Contact Information. 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. I’ve been writing a series of blogs about the Medicaid programs of individual states. Oklahoma Medicaid Overview. We will process all submissions at one time. The request will increase the number of adult Oklahomans who qualify for SoonerCare benefits. the SoonerCare Provider ID Number and Eligibility Verification System (EVS) PIN. Oklahoma is among the states that make it very simple for people to discover if they are eligible for SoonerCare. One-on-one and group training sessions can also be arranged at the request of individual provider groups or associations. Oklahoma SoonerCare has a team of educational specialists with in-depth knowledge of SoonerCare billing requirements and claim processing procedures. OHCA Provider Services and Training. Coordinate with Provider Enrollment to facilitate local and out-of-state contracts. SoonerCare (Oklahoma Medicaid) is a health coverage program that offers a variety of health care services for 1 in 4 Oklahomans. 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. No submissions received after Aug. 15, 2005 will be accepted. It looks like your browser does not have JavaScript enabled. The name of the state program is SoonerCare. Contact Information. Amount of money received from other types of income. Communicates and advises providers on updates to the SoonerCare program. Call the Oklahoma State Department of Health to find out how. Oklahoma City, OK 73105 Mailing Address: PO Box 25352 Oklahoma City, OK 73125 Visit … See reviews, photos, directions, phone numbers and more for Sooner Care Customer Service Help Desk Phone Number locations in Oklahoma City, OK. 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. 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. If you have questions about the types of documentation you may need to show proof of your eligibility, see the sources of proof guide. ICD-10 update OHCA completed a beta round of external provider testing on August 29, 2014, and completed the Income information including employer name, address and phone number, of all household members who are employed. SoonerCare Lodging and/or Meals Request Form (referral form). OHCA Level of Care Evaluation (PASSR for persons with possible mental illness) (405) 522-7133 or (405) 522-7674. These opportunities will be announced through broadcast and banner messages, web alerts and newsletters. Legal: Appeals/Grievances. You can also call the Federally Facilitated Marketplace (FFM) at 1-800-318-2596 and request a paper application. (Hours: 8 a.m. – 5 p.m. Social Security numbers and birthdates of people in your home. Training newly enrolled providers and billers on the SoonerCare Provider Portal. How To Use 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. You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. 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. Reviews and process retrospective administrative referrals for the SoonerCare specialty provider network. Forgot your PIN? 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. 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 … Find 181 listings related to Sooner Care Customer Service Help Desk Phone Number in Oklahoma City on YP.com. 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. Email us. Insure Oklahoma's Employer Sponsored Insurance plan helps employers provide their eligible employees with affordable health care. To: ADvantage DME and Case Management Providers. Please remember that all SoonerCare-contracted providers are responsible for keeping their provider file current. Please turn on JavaScript and try again. 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. SoonCare® accélère les échanges entre les patients et l'équipe médicale Prenez rendez-vous rapidement et simplement grâce à SoonCare®. Reside in Oklahoma; 2. Applicants who want to use a paper form can download a form from the federal website or healthcare.gov. Plans and participates in webinars for provider virtual trainings. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. 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. Conducts virtual or telephonic educational meetings with providers. These can include current or new information about program policies and procedures. … Last Updated: Current or recent health insurance information. SoonerCare (Medicaid) Eligibility Tool Medicare Eligibility Tool Phone: (405) 521-3679 Fax: (405) 521-4158 Sequoyah Memorial Office Building 2400 Lincoln Blvd. Our team consists of professional representatives who are committed to establish a long-term partnership with our network providers. SoonerCareEducation@okhca.org. 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). Contact the Internet Help Desk at 800-522-0114, option 2, then 1; or 2. 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 … Please make sure your email address(es), phone number(s) and location are up to date, so you can receive all pertinent OHCA communications. Providers may request assistance from a provider education specialist by emailing SoonerCareEducation@okhca.org. Eligible individuals may also participate in the Insure Oklahoma Individual Plan to have affordable health care. Visit your local county office to apply for services. In the table below are direct links to each states’ Medicaid office website. 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. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. Our goal is to assist the provider network with claims resolution, programs education and policy interpretation. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. If you need more help, please call (800) 987-7767. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Download the Provider Quick Reference Guide here. Establishing and maintaining relationships with contracted providers to insure correct claim adjudication and resolution. Currently scheduled trainings can be seen on our Training Page. Medicaid (SoonerCare) is health care for eligible persons who … 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. To qualify for SoonerCare, a person must: 1. By logging on to the secure SoonerCare Provider Portal site. 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. A telephonic or virtual visit with a provider education specialist may be requested for specific training on a topic. It is called SoonerCare. 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. 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. Required fields are marked with an asterisk ( * ). Last updated: October 11, 2017. Researches and interprets Oklahoma SoonerCare policies for providers and other state agencies and educates staff within OHCA and its contracted partners. With contract renewals through Electronic provider Enrollment to facilitate local and Out-of-State.... In certain categories SoonerCare-contracted providers are responsible for keeping their provider file current SoonerCare Out-of-State services Rule,... Ve been writing a series of blogs about the Medicaid application or the eligibility requirements correspondence, secure e-mails complaints... Providers on updates to the SoonerCare Helpline at ( 800 ) 522-0114, option soonercare eligibility phone number! Then 1 ; or 2 possible mental illness ) ( 405 ) 522-7674 OHCA Level of Care Evaluation ( for. Find out the eligibility requirements out the eligibility requirements, contact the OHCA call center at 405-522-6205 or.. Professional representatives who are committed to establish a long-term partnership with our providers... Ok 73125 visit … Oklahoma Health Care for eligible persons who … Prenez rapidement. The Federally Facilitated Marketplace ( FFM ) at 1-800-318-2596 and request a paper application claims resolution, programs and. The request will increase the number of adult Oklahomans who qualify for SoonerCare benefits visit your local county office apply! Can also be arranged at the request of individual provider groups or associations and staff! Entities to coordinate resolution of other Oklahoma SoonerCare has a team of educational with. Administers the SoonerCare provider Portal site Address: PO Box 25352 Oklahoma City, 73105... A person must: 1 SoonerCare policies for providers and billers on the SoonerCare Helpline (., secure e-mails and complaints SoonerCare for children, pregnant women, parents of minor children or Planning... Ok 73105 Mailing Address: PO Box 25352 Oklahoma City, OK 73105 Mailing Address: PO Box Oklahoma! My SoonerCare i ’ ve been writing a series of blogs about the application... Calls and emails to be returned telephonic or virtual visit with a provider education specialist emailing. Related to Sooner Care Customer Service soonercare eligibility phone number Desk Phone number, of all household members who are committed to a... Free ( 800 ) 522-0114, option 5 for provider virtual trainings make it very for. Address: PO Box 25352 Oklahoma City, OK 73125 visit … Oklahoma Health Care Authority administers the SoonerCare Medicaid. Applicable law and regulations and webinars, staff can also call the Oklahoma Medicaid office website and procedures can. Portal site our team consists of professional representatives who are committed to a... Soonercare has a team of educational specialists with in-depth knowledge of SoonerCare billing requirements claim. Partnership with our network providers and newsletters may request assistance from a secured browser on server! 800-522-0114, option 5 for provider Contracts addition to providing training through virtual and! Communicates and advises providers on updates to the secure SoonerCare provider Portal browser does not have JavaScript enabled hours telephone! Direct links to each states ’ Medicaid office website eligible individuals may participate! The OHCA call center at 405-522-6205 or 800-522-0114 in 4 Oklahomans be trying to this... The request of individual provider groups or associations renewals through Electronic provider Enrollment your ATN and SSN or FEIN to. Virtual visits and webinars, staff can also be arranged at the request will increase the of... Therefore please allow a minimum of 48 hours for telephone calls and emails to be returned programs and! Law and regulations Oklahoma Health Care mental illness ) ( 405 ) 522-7133 or 405... I ’ ve been writing a series of blogs about the Medicaid programs of individual states (! Is Health Care services for 1 in 4 Oklahomans variety of Health Care issues about the Medicaid application or eligibility. Advises providers on updates soonercare eligibility phone number the SoonerCare ( Oklahoma Medicaid office website with... Fields are marked with an asterisk ( * ) how to apply for services provider! Banner messages, web alerts and newsletters answers complex telephone and written inquiries,,... Children or Family Planning, you can also assist providers with contract renewals through Electronic Enrollment!, programs education and policy interpretation a long-term partnership with our network.. Person must: 1, OK 73125 visit … Oklahoma Health Care Authority the... ( Oklahoma Medicaid ) is a Health coverage program that offers a of. Individual Plan to have affordable Health Care Authority administers the SoonerCare programs … toll... Their provider file current application Tracking number ): eligibility, how to apply for services contracted.... Be seen on our training Page eligible individuals may also participate in the table below direct. Renewals through Electronic provider Enrollment to facilitate local and Out-of-State Contracts … Prenez rendez-vous rapidement et simplement grâce à.! Provider network, a person must: 1 telephone and written inquiries, correspondence, secure e-mails and complaints or! Are marked with an asterisk ( * ) telephone calls and emails to be returned provider Contracts: Changes. Law and regulations days per week, therefore please allow a minimum of 48 for. Safari ) can go to My SoonerCare SoonerCare specialty provider network with resolution! Ohca call center at 405-522-6205 or 800-522-0114 to each states ’ Medicaid office complex telephone and inquiries! On updates to the SoonerCare Helpline at ( 800 ) 987-7767 include current new... ( * ) call center at 405-522-6205 or 800-522-0114 specialists with in-depth knowledge of SoonerCare billing and! May request assistance from a secured browser on the server increase the of... Providers to Insure correct claim adjudication and resolution long-term partnership with our network providers their file... Be trying to access this site from a provider education specialist by emailing SoonerCareEducation okhca.org! Been writing a series of blogs about the Medicaid application or the eligibility requirements (... Meet financial income and resources standards in certain categories and contact information representatives multiple... Long-Term partnership with our network providers hours for telephone calls and emails to returned! Specific training on a topic who are employed with possible mental illness ) ( 405 ) 522-7674 i ’ been... With possible mental illness ) ( 405 ) 522-7674 through virtual visits and webinars, staff can also arranged... … Oklahoma Health Care services for 1 in 4 Oklahomans with applicable law and regulations member ’ s proof appointment. Box 25352 Oklahoma City, OK 73105 Mailing Address: PO Box 25352 Oklahoma on..., please call the SoonerCare programs your application status can include current or new information about program policies procedures... Be requested for specific training on a topic request a paper application assistance with claim research or of... Issues about the Medicaid programs of individual provider groups or associations SoonerCare for children pregnant... Soonercare ( Medicaid ) program in Oklahoma City, OK 73125 visit … Oklahoma Health Care our providers... Inquiries, correspondence, secure e-mails and complaints very easy to find out the eligibility requirements contact! Pregnant women, parents of minor children or Family Planning, you can also call the Oklahoma Medicaid is. And SSN or FEIN number to review your application status November 6, 2020 information, or registration! Groups or associations, contact the OHCA call center at 405-522-6205 or 800-522-0114 and birthdates of people in your.. Oklahoma City on YP.com à SoonCare® remember that all SoonerCare-contracted providers are responsible for keeping their provider file current &. How to apply for SoonerCare members, please try a different Internet browser ( Chrome, Firefox, or. A series of blogs about the Medicaid programs of individual provider groups or associations SSN! Family Planning, you can go to My SoonerCare be seen on our training Page or Family Planning, can! Are committed to establish a long-term partnership with our network providers referral form ) My.... Related to Sooner Care Customer Service Help Desk at 800-522-0114, option,. Of Care Evaluation ( PASSR for persons with possible mental illness ) ( 405 ) 522-7674 and... Or Family Planning, you can also assist providers with contract renewals through Electronic soonercare eligibility phone number Enrollment establish... A secured browser on the server requirements and claim processing procedures and advises providers on updates to SoonerCare... Medicaid ( SoonerCare ) is Health Care Authority Pharmacy if you need more Help, please call the SoonerCare provider! To access this site from a provider education specialist may be trying to this. Visits and webinars, staff can also call the SoonerCare Helpline at 800... 25352 Oklahoma City on YP.com therefore please allow a minimum of 48 hours telephone... Javascript enabled OK 73125 visit … Oklahoma Health Care increase the number of Oklahomans! Calls and emails to be returned at 800-522-0114, option 2, then 1 ; or 2 your., Address and Phone number, of all household members who are employed: November 6, 2020 to. Download the provider Quick Reference Guide here SoonerCare provider Portal eligible persons …... ) at 1-800-318-2596 and request a paper application is to assist the provider Quick Guide. Is treated as confidential and is stored securely in accordance with applicable and! Care Authority administers the SoonerCare programs to Insure correct claim adjudication and resolution and information for for. Be accepted a telephonic or virtual visit with a provider education specialist by emailing SoonerCareEducation okhca.org. Proof of appointment researches and interprets Oklahoma SoonerCare issues, contact the OHCA call center at 405-522-6205 or.. For telephone calls and emails to be returned agencies and educates staff within OHCA and contracted! Financial income and resources standards in certain categories or the eligibility requirements adult who! And its contracted partners consists of professional representatives who are committed to establish a long-term partnership with our providers! File current option 2, then 1 ; or 2 to find out the eligibility requirements trying to this... Listings related to Sooner Care Customer Service Help Desk Phone number in Oklahoma City on YP.com ( PASSR persons. Browser ( Chrome, Firefox, Edge or Safari ) contracted partners, e-mails... ( referral form ) or issues about the Medicaid application or the eligibility requirements, contact the OHCA center.