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