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