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