Prenez rendez-vous rapidement et simplement grâce à SoonCare®. The name of the state program is SoonerCare. 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 enable scripts and reload this page. To: ADvantage DME and Case Management Providers. Legal: Appeals/Grievances. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. Our team consists of professional representatives who are committed to establish a long-term partnership with our network providers. Training newly enrolled providers and billers on the SoonerCare Provider Portal. Reside in Oklahoma; 2. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. In the table below are direct links to each states’ Medicaid office website. 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. If you are experiencing difficulties, please try a different Internet browser (Chrome, Firefox, Edge or Safari). 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. 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. 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. It looks like your browser does not have JavaScript enabled. (405) 522-7641. Currently scheduled trainings can be seen on our Training Page. 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. No submissions received after Aug. 15, 2005 will be accepted. Lodging and/or Meals Services. Find 181 listings related to Sooner Care Customer Service Help Desk Phone Number in Oklahoma City on YP.com. Providers may request assistance from a provider education specialist by emailing SoonerCareEducation@okhca.org. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Income information including employer name, address and phone number, of all household members who are employed. 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. Amount of money received from other types of income. 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 … Subject: DME Changes Date: November 6, 2020. 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 is Oklahoma’s Medicaid program. Visit your local county office to apply for services. Reviews and process retrospective administrative referrals for the SoonerCare specialty provider network. 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 … 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. How To Use Applicants who want to use a paper form can download a form from the federal website or healthcare.gov. Medicaid (SoonerCare) is health care for eligible persons who … The request will increase the number of adult Oklahomans who qualify for SoonerCare benefits. 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 … OHCA Long Term Care Claims. Effective Dec. 1, OHCA will open coverage for COVID-19 related lab services CPT 87636 and 87637 (see code descriptions below). (800) 522-0114. You can also call the Federally Facilitated Marketplace (FFM) at 1-800-318-2596 and request a paper application. 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. Researches and resolves legislative inquiries. If you need more help, please call (800) 987-7767. Eligibility, How to Apply and Contact Information. 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. 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. 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