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