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