soonercare eligibility phone number

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

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