Global Messages
2024 Global Messages
DATE POSTED | TITLE | MESSAGE |
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5/9/24 | Policy Compliance Reminder | Provider types/specialties: All The General Agreement between a provider and the Oklahoma Health Care Authority, Article IV, Scope of Work states: “Unless otherwise specified in the Special Provisions for provider’s type, Provider agrees to the following: (f) To comply with all applicable statutes, regulations, policies, and properly promulgated rules of OHCA.” All policies and rules can be found on OHCA’s public website at the following link: Policy and Rules (oklahoma.gov). Claims not compliant with OHCA policy are identified as payment errors and subject to recoupment during an audit. The OHCA would like to highlight three recurrent issues being identified and the applicable policy.
Contracted Provider: O.A.C. 317:30-3-2 states: “In order to be eligible for payment, providers must have on file with OHCA, an approved Provider Agreement.” Rendering Provider on Claim: O.A.C. 317:30-3-1(b) states: “Payment to practitioners under Medicaid is made for services clearly identifiable as personally rendered services performed on behalf of a specific member. There are no exceptions to personally rendered services unless specifically set out in coverage guidelines.” O.A.C. 317:30-5-1(1) states: “Payment to physicians under SoonerCare is made for services clearly identifiable as personally rendered services performed on behalf of a specific patient. There are no exceptions to personally rendered services unless specifically set out in coverage guidelines.” Record Authentication: O.A.C. 317:30-3-4.1(1)(E) states: “The authentication of an electronic medical record (signature and date entry) is expected on the day the record is completed. If the electronic medical record is transcribed by someone other than the provider, the signature of the rendering provider and date entry is expected within three (3) business days from the day the record is completed. Before any claim is submitted to OHCA for payment of a provided service, the provider must authenticate the electronic medical records relating to that service.” O.A.C. 317:30-3-30(b) states: “A handwritten signature is a mark or sign by an individual on a document to signify knowledge, approval, acceptance, or obligation. The authentication of a medical record (signature and date entry) is expected on the day the record is completed. If the medical record is transcribed by someone other than the provider, the signature of the rendering provider and date entry is expected within three (3) business days from the day the record is completed. Before any claim is submitted to OHCA for payment of a provided service, the provider must authenticate the medical records relating to that service.” |
5/3/24 | Genetic Testing – Human Platelet Antigen Genotyping | Provider Types/Specialties: 01/08/09/10/28/31/52 Effective May 1, 2024, OHCA is adding coverage for human platelet antigen genotyping codes 81105-81112. These services will be covered for ages 0-999 and will require a prior authorization (PA). The Genetic Molecular Pathology guidelines have been updated to include the criteria for this new coverage. |
5/2/24 | PCP/PCMH | Provider Types/Specialties: 08/080, 081, 082, 088, 184, 185; 31/316, 318, 322, 344, 345, 568; 10/100; 09/093 Dear SoonerSelect Provider, During the SoonerSelect transition on April 1, 2024, members were assigned a primary care provider by their assigned/chosen health plan. Several factors were considered during this assignment process including historical PCP assignment information provided by OHCA, distance to provider from the member’s address and provider network status with the contracted entity. We understand that this may have caused disruption to your PCP panel assignments that you were accustomed to under SoonerCare Choice. In order to reduce disruption in care for SoonerSelect members, each of the contracted entities will be reassigning members, to the extent possible, back to their pre-implementation PCP unless a member has actively chosen a new PCP. Information regarding specific assignment information will be forthcoming from each of the SoonerSelect contracted entities. Reassignments are expected to take place over the next 7-10 days. |
5/1/24 | Updated Coverage Guidelines for Molecular Diagnostic Testing for Infectious Diseases | Provider types: 01, 08, 09, 10, 14, 28, 31, 52 Effective April 24, 2024, OHCA has updated coverage guidelines for Molecular Diagnostic Testing for Infectious Diseases. The latest guideline includes grammar and proofreading changes; there were no changes in coverage criteria. |
4/25/24 | SoonerSelect Vision Benefits Webinar Featuring Our SoonerSelect Partners | Provider Types: 18 Optometrist/180 Optometrist, 19 Optician/190 Optician, 207 ITU Optician, 31 Physician/330 Ophthalmologist, 543 Pediatric Ophthalmology, 52 State Employed Physicians/330 Ophthalmologist, 543 Pediatric Ophthalmology Description: Join us for an overview of vision benefits and vision services provided by our SoonerSelect partners. Register for the session with Aetna Better Health of Oklahoma at noon, Tuesday, May 7, 2024. Register for the session with Humana Healthy Horizons in Oklahoma at noon, Wednesday, May 8, 2024. Register for the session with Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program at noon, Thursday, May 9, 2024. |
4/23/24 | Human Immunodeficiency Virus (HIV) Counseling, CPT code 99401 is available for use | Provider types/specialties: 081, 084, 088, 185, 199, 090, 092, 093, 100, 130, 316, 318, 320, 322, 328, 344, 345, 349, 359, 316, 318, 320, 328, 344, 345, 349, 359 Oklahoma is one of seven states identified in the 2019 End HIV Initiative that has a statistically disproportionate occurrence of HIV in rural areas. To increase awareness and incentivize providers to have crucial conversations with members surrounding HIV awareness and prevention, the Oklahoma Health Care Authority has approved the use of CPT code 99401 for HIV counseling. CPT code 99401 is available for use:
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4/22/24 | File Updates | Provider Types: All Please update your OHCA provider files to ensure all details, including new or missing locations and group member assignments, are accurate. If your update impacts services under SoonerSelect partners, please email your Application Tracking Number (ATN), received upon submitting your update on the OHCA provider portal, to providerenrollment@okhca.org with "SoonerSelect update" and your Application Tracking Number in the subject line. |
4/18/24 | Long-Acting Reversible Contraceptives (LARC) Training | Provider types: 08, 09, 10,13, 16, 31, 52 The Focus Forward Oklahoma program works to address issues related to access and utilization of long-acting reversible contraceptives (LARC). No-cost LARC training is available to Oklahoma providers, clinical support staff and administrative staff. There are currently two trainings available on June 22, 2024 and June 29, 2024. For more information about Focus Forward and available training, visit our provider training web page or view the flyer with additional details and registration code. |
4/5/24 | Long-Acting Reversible Contraceptives (LARC) Training | Provider types: 08, 09, 10,13, 16, 31, 52 The Focus Forward Oklahoma program works to address issues related to access and utilization of long-acting reversible contraceptives (LARC). No-cost LARC training is available to Oklahoma providers, clinical support staff and administrative staff. There is currently one training scheduled in April 2024. For more information about Focus Forward and available training, visit our Provider Training web page. |
3/29/24 | SoonerSelect Webinar Featuring Our Partner Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program | Provider Types: All Topics will include but are not limited to an overview of Availity, how to file a prior authorization, and how to file a claim. Please note that there two are separate opportunities to hear from each CE for Behavioral Health Providers, PT/OT/ST providers and all other provider types. Behavioral Health Providers Click here to register for the Behavioral Health session with Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program at 9 a.m. on Thursday, April 11, 2024. Click here to register for the Behavioral Health session with Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program at 2:30 p.m. on Tuesday, April 16, 2024. PT/OT/ST Click here to register for the PT/OT/ST webinar session with Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program at 11:30 a.m. on Thursday, April 11, 2024. Click here to register for the PT/OT/ST webinar session with Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program at 9 a.m. on Tuesday, April 16, 2024. All other providers Click here to register for all other providers' webinar session with Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program at 2:30 p.m. on Thursday, April 11, 2024. Click here to register for all other providers' webinar session with Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program at 11:30 a.m. on Tuesday, April 16, 2024. |
3/29/24 | SoonerSelect Webinar Featuring Our Partner Humana Healthy Horizons in Oklahoma | Provider Types: All Topics will include but are not limited to an overview of Availity, how to file a prior authorization, and how to file a claim. Please note that there two are separate opportunities to hear from each CE for Behavioral Health Providers, PT/OT/ST providers and all other provider types. Behavioral Health Providers Click here to register for the Behavioral Health session with Humana Healthy Horizons in Oklahoma at 9 a.m. on Wednesday, April 10, 2024. Click here to register for the Behavioral Health session with Humana Healthy Horizons in Oklahoma at 2:30 p.m. on Thursday, April 18, 2024. PT/OT/ST Click here to register for the PT/OT/ST webinar session with Humana Healthy Horizons in Oklahoma at 11:30 a.m. on Wednesday, April 10, 2024. Click here to register for the PT/OT/ST webinar session with Humana Healthy Horizons in Oklahoma at 9 a.m. on Thursday, April 18, 2024. All other providers Click here to register for all other providers' webinar session with Humana Healthy Horizons in Oklahoma at 2:30 p.m. on Wednesday, April 10, 2024. Click here to register for all other providers' webinar session with Humana Healthy Horizons in Oklahoma at 11:30 a.m. on Thursday, April 18, 2024. |
3/29/24 | SoonerSelect Webinars Featuring Our Partner Aetna Better Health of Oklahoma | Provider Types: All Topics will include but are not limited to an overview of Availity, how to file a prior authorization, and how to file a claim. Please note that there two are separate opportunities to hear from each CE for Behavioral Health Providers, PT/OT/ST providers and all other provider types. Behavioral Health Providers Click here to register for the Behavioral Health session with Aetna Better Health of Oklahoma at 9 a.m. on Tuesday, April 9, 2024. Click here to register for the Behavioral Health session with Aetna Better Health of Oklahoma at 2:30 p.m. on Wednesday, April 17, 2024. PT/OT/ST Click here to register for the PT/OT/ST webinar session with Aetna Better Health of Oklahoma at 11:30 a.m. on Tuesday, April 9, 2024. Click here to register for the PT/OT/ST webinar session with Aetna Better Health of Oklahoma at 9 a.m. on Wednesday, April 17, 2024. All other providers Click here to register for all other providers' webinar session with Aetna Better Health of Oklahoma at 2:30 p.m. on Tuesday, April 9, 2024. Click here to register for all other providers' webinar session with Aetna Better Health of Oklahoma at 11:30 a.m. on Wednesday, April 17, 2024. |
3/29/24 | SoonerSelect Eligibility Verification | Provider Types: All Exciting news! If a member is enrolled in the SoonerSelect dental program (SoonerDental), you are now able to verify in which plan the member is enrolled. Click on the + (plus) sign in the Managed Care section of the eligibility screen and it will expand to show you the member’s plan name. Please note: |
3/29/24 | PCMH Care Coordination Payments | Provider Types: 08/080, 081, 082, 088, 184, 185; 31/316, 318, 322, 344, 345, 568; 10/100; 09/093 OHCA made the last PCMH care coordination payment for members transitioning to SoonerSelect on Feb. 28, 2024. The February 2024 payment is a prospective payment for March 2024. Beginning April 2024, the contracted entities (CE) will make the PCMH care coordination payments for SoonerSelect members. Each CE will have a PCMH payment calendar; please see below for additional information regarding PCMH payments per plan.
OHCA will continue to make PCMH care coordination payments for members who are not enrolled in SoonerSelect but who are still eligible to receive services through SoonerCare PCMH. Please make sure you have submitted your EFT info to the plans. |
3/29/24 | SoonerSelect Health Plans and SoonerSelect Children’s Specialty Program begin April 1, 2024 | Provider types: All Providers OHCA encourages all health care providers to contract with each SoonerSelect health plan — Aetna Better Health of Oklahoma, Humana Healthy Horizons in Oklahoma, Oklahoma Complete Health, and Oklahoma Complete Health for the Children’s Specialty Program — to continue serving all SoonerCare members who have transitioned to SoonerSelect. Contact the health plans for more information on provider contracting. Visit the SoonerSelect page for contact information, provider directories, benefit guides and member handbooks. More materials include day one guides, FAQs and other resources that will help you continue to serve members. |
3/15/24 | Important Information Regarding Prior Authorizations and Billing for SoonerCare Behavioral Health Providers Contracted and NOT Contracted with ODMHSAS | Provider types: 017, 110, 111, 112,114, 115, 116, 118, 121, 134, 135, 136, 137,138 Message: Effective April 1, 2024, due to the transition to SoonerSelect, there will be some important changes to prior authorizations and requirements for completion of the Customer Data Core (CDC). SoonerSelect DMH Contracted and Non-Contracted Providers.pdf (oklahoma.gov) |
3/5/24 | SoonerSelect Dental Webinars Featuring Our Partners DentaQuest and LIBERTY Dental | Provider Types: 27/270-279, 08/081 & 086 Don’t miss this amazing opportunity to hear from our partners DentaQuest and LIBERTY Dental. There is still space available; register using the links below. Topics will include but are not limited to continuity of care period, prior authorizations, contracting/credentialing and dental home. Click here to register for the LIBERTY Dental session at 2 p.m., Tuesday, March 5, 2024. Click here to register for the LIBERTY Dental session at 10 a.m., Thursday, March 7, 2024. Click here to register for the DentaQuest session at 2 p.m., Thursday, March 7, 2024. Click here to register for the DentaQuest session at 10 a.m., Wednesday, March 13, 2024. Click here to register for the LIBERTY Dental session at 2 p.m., Wednesday, March 13, 2024. |
3/5/24 | Psychiatric Collaborative Care and Behavioral Health Integration Services | Provider Types: 08, 09, 10, 31, and 52 Effective Nov. 1, 2023, OHCA has added coverage for psychiatric collaborative care and behavioral health integration services. Coverage and billing information for these services can be found here. |
3/4/24 | SoonerSelect Provider Information Requests | Provider Types: All OHCA has been working with our SoonerSelect partners to ensure they have an adequate network to serve our SoonerCare members. The health plans may need additional information from our provider community to complete provider files and update provider directories. OHCA is aware of these requests and asks that you work with the health plans by sharing the additional requested information to ensure they have complete and accurate provider information for our members. |
3/1/24 | SoonerSelect Dental Webinar Cancelation | Provider Types: 27/270-279, 08/081 & 086 Description: Due to unforeseen circumstances the SoonerSelect dental webinar with DentaQuest that was scheduled for 10 a.m., Tuesday, March 5, has been canceled. Please remove this webinar from your calendar and sign up for one of the remaining sessions. Click here to register for the DentaQuest session at 2 p.m., Thursday, March 7, 2024 Click here to register for the DentaQuest session at 10 a.m., Wednesday, March 13, 2024 |
3/1/24 | Long-Term Care PFP Payment Update |
TITLE: Nursing Facility Pay for Performance (PFP) Payment Update Run Date: 2/26/2024 – 3/8/2024 PV Type: 03/ 30,35 SFY 2024 3rd quarter PFP payment will be made on Feb. 28, 2024. We thank you for your continued service to SoonerCare members. |
3/1/24 | Long-Term Care Enhanced Payment Update | TITLE: ICF/IID Vocational & Day Services Enhanced Payment -Update Run Date: 02/26/2024 – 03/08/2024 PV Type: 03/ 31,34 SFY 2024 3rd quarter enhanced payment for vocational and day services will be made on Feb. 28, 2024. We thank you for your continued service to SoonerCare members. |
3/1/24 | Licensed Behavioral Health Renewals 2024 | Provider Types/Specialties: 093, 115, 121, 535, 585, 586, 587 Providers: This is a reminder that licensed behavioral health provider contracts (type 53 including LADC, LMFT, LPC, LBHP and LCSW) are set to expire Feb. 28, 2024. Contracts that have not had a renewal completed by Feb. 29, 2024, will be unable to submit claims until their renewal has been submitted and approved. OHCA will be unable to prioritize renewals for any provider submitted after Feb. 28, 2024, and all renewals will be processed based on the date received. Failure to complete a renewal will result in the provider being required to submit a new application to become credentialed with SoonerCare. |
2/26/24 | SoonerSelect Dental Webinars Featuring Our Partners DentaQuest and LIBERTY Dental | Provider Types: 27/270-279, 08/081 & 086 Description: Please join us for one or more sessions presented separately by our dental partners, DentaQuest and LIBERTY Dental. Topics will include but are not limited to continuity of care period, prior authorizations, contracting/credentialing and dental home. Click here to register for the LIBERTY Dental session at 2 p.m., Tuesday, March 5, 2024 Click here to register for the LIBERTY Dental session at 10 a.m., Thursday, March 7, 2024 Click here to register for the DentaQuest session at 2 p.m., Thursday, March 7, 2024 Click here to register for the DentaQuest session at 10 a.m., Wednesday, March 13, 2024 Click here to register for the LIBERTY Dental session at 2 p.m., Wednesday, March 13, 2024 |
2/20/24 | Request for Coverage Consideration | Providers: All Providers and vendors may request consideration for SoonerCare coverage of a new service, procedure, technology, device or other benefit. For your request to be considered, please complete and submit a Request for New SoonerCare Coverage Consideration Form. Remember to attach any requested supporting documents and any other evidence-based documents you wish to be considered in this review of coverage to the completed form. Completed forms should be submitted by email to massunit@okhca.org. Investigational, non-FDA approved, experimental or solely cosmetic services will not be considered for coverage. All services must be medically necessary in accordance with OAC 317:30-3-1(f). |
2/20/24 | Medical and DME Retro PA Requests | Provider Type – All Medical and Durable Medical Equipment Providers 01/010, 012, 014,- 018, 201, 206, 02/020 - 022, 06/060, 08/080 -082, 084, 085, 088, 106, 181, 183, - 186, 188, 192, 194 -199, 202, 203, 208, 801, 802, 09/90-96, 210, 211, 564, 999 10/100-102, 14/140, 18/180, 19/190, 207 22/220, 25/220, 250-253, 277, 28/280-281, 29/290-292, 31/272, 310-338, 340-352, 354-359, 520-529, 540-552, 554-566, 568, 569, 999 In response to feedback from medical and durable medical equipment (DME) providers about the practical challenges that cessation of retroactive prior authorization (PA) requests causes, OHCA is changing its requirements. OHCA will allow retro PA requests to be submitted up to five business days after the first service date. Please limit your submissions to retro requests of no more than five business days after the first date of service. Requests beyond the five days will be canceled. Medical imaging retro PA requests will remain at three business days. |
2/20/24 | Dental Retro PA Requests | Provider Type – All Dental Providers 021, 086, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 999 In response to feedback from dental providers about the practical challenges that cessation of retroactive prior authorization (PA) requests causes, OHCA is changing its requirements. OHCA will allow retro PA requests to be submitted up to five business days after the first service date. Please limit your submissions to retro requests of no more than five business days after the first date of service. Requests beyond the five days will be canceled. |
2/8/24 | C-Section Rate Letters | PV Types: 01, 08, 31, 52 The year-end C-section rate letters for state fiscal year 2023 are now available through the OHCA Provider Portal. As a reminder, these C-section letters are now only available electronically. If you need help to retrieve your letters, please call 800-522-0114. You may also view the SoonerCare C-section rates and reports available on the Cesarean Reports webpage. Thank you. |
2/1/24 | SoonerSelect Dental – Getting Started and Preparedness for Day One Webinar | Provider Types: 27/270-279, 08/080-081 & 086 This class will provide you with the tools you need to be successful during the transition and implementation of the SoonerSelect Dental Program. Join us at 10-11 a.m., Thursday, Feb. 8, 2024. Click here to register. |
1/30/24 | SoonerSelect and School-Based Services pursuant to an IEP or IFSP | Provider Type: 12/120 Targeted Audience: OHCA-contracted school districts and OHCA providers that provide Medicaid services pursuant to an IEP or IFSP. OHCA is delaying including school-based and SoonerStart program services in SoonerSelect for the first 15 months from the date of SoonerSelect implementation (April 1, 2024). Through the 15-month extension, school-based and SoonerStart services will be processed and reimbursed through OHCA, maintaining current reimbursement practices. Health and Children’s Specialty Program CEs will reimburse OHCA-enrolled qualified school providers and SoonerStart providers beginning July 1, 2025. If you have any questions regarding this global, please email Lana.Brown@okhca.org. |
1/25/24 | Dental CRNA Coding and Services | Provider Types: 27/270-279, 08/080-081 & 086 09/94 All dental providers using CRNA services and/or billing for in-office sedation, other than nitrous oxide, should review the terms and conditions for billing and coding to ensure that you are in compliance with federal regulations, state policies and other guidelines. We strongly encourage a review of your contract language to ensure your coding and billing practices are compliant with documentations standards, policy and other applicable regulations. CRNA services must be billed with the actual servicing provider listed as the rendering provider on the claim, and all rendering providers must have a contract with OHCA (O.A.C. 317:30-3-1(b)). OHCA will soon be providing additional education and clarity on this subject. Until then, please review your coding and practices and align them with required practices and policy. |
1/25/24 | SoonerSelect Dental- Getting Started and Preparedness for Day One Webinar | Provider Types: 27/270-279, 08/080-081 & 086 This class will provide you with the tools you need to be successful during the transition and implementation of the SoonerSelect Dental Program. Jan 30, 2024, 10:00-11:30 AM. Click here to register. |
1/25/24 | SoonerPlan FPL Threshold | Provider Types/Specialties: All The Oklahoma Health Care Authority has raised the FPL threshold for the SoonerPlan program. View the new income guidelines on the OHCA website. This change will expand access to reproductive health services for individuals ages 19 and older who are uninsured or underinsured and do not qualify for these services through other SoonerCare programs. The goals are to improve outcomes across the State in:
The effective date for the new income guidelines is Jan. 1, 2024. |
1/25/24 | Quarterly Orthodontic Payments | Provider Types: 27/270-279, 08/080-081 & 086 Effective Feb. 1, 2024, the orthodontic payment structure will change from three yearly bulk payments over a 36-month period to one yearly bulk payment and four quarterly payments over a 24-month period. Dental providers can review information regarding this change by visiting our Provider Training page and viewing the Quarterly Orthodontic Payments document found under Resources. |
1/24/24 | SoonerSelect Dental Eligibility Verification | Provider Type: Dentists 27, 270-279, 08, 080, 081, 086 This is to inform you that the SoonerCare Provider Portal will be able to show if a member is enrolled in the SoonerSelect Dental Program; however, it will not show the dental plan assignment until or after 2/15/2024. Follow the steps below to check member SoonerSelect Dental Program eligibility and identify plan assignment until the Provider Portal is updated. 1. Verify eligibility on OHCA secure provider portal; look for SoonerDental, if not listed, the member remains on traditional SoonerCare so you may continue as usual; if SoonerDental is returned in your results, please continue to Step 2. 2. Verify eligibility with the member’s plan, LIBERTY LIBERTY Dental Plan of Oklahoma or DentaQuest www.DentaQuest.com via their provider portal. If unable to determine which plan the member is assigned to, ask the member for their ID card, and proceed with contacting their plan. 3. If you are unable to determine eligibility, please call the Provider Helpline at 1-800-522-0114, Option 1 for assistance. We have an upcoming training for dental provider’s and their staff on January 30, 2024, at 10:00 am., titled “SoonerSelect Dental – Getting Started and Preparedness for Day One”. You may register for training here. We look forward to sharing important information about our SoonerSelect Dental program. |
1/11/24 | Medical and DME Retro Prior Authorizations | Provider Type: All Medical Providers and All Durable Medical Equipment Providers 01/010, 012, 014,- 018, 201, 206, 02/020 - 022, 06/060, 08/080 -082, 084, 085, 088, 106, 181, 183, - 186, 188, 192, 194 -199, 202, 203, 208, 801, 802, 09/90-96, 210, 211, 564, 999 10/100-102, 14/140, 18/180, 19/190, 207 22/220, 25/220, 250-253, 277, 28/280-281, 29/290-292, 31/272, 310-338, 340-352, 354-359, 520-529, 540-552, 554-566, 568, 569, 999 Effective Feb. 1, 2024, OHCA will no longer issue retroactive authorizations for medical services or durable medical equipment (DME). This change applies specifically to prior authorizations submitted via the secure provider portal utilizing the medical radio button. Authorization processes currently in place for behavioral health services are not included in this change. Please submit any outstanding authorization requests (that fall within the currently allowed retroactive date timeframe) for retroactive authorizations no later than close of business on Jan. 31, 2024. A complete request must be submitted by close of business Jan. 31, 2024 to avoid cancellation. |
1/10/24 | Dental Retro Prior Authorizations | Provider Type: All Dental Providers 021, 086, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 999 Effective Jan. 27, 2024, dental services will no longer be authorized retroactively. Services that require a prior authorization must be requested and approved prior to rendering. All requests for outstanding retroactive dental services must have a complete request submitted by close of business Jan. 26, 2024, to avoid cancellation. |
1/9/24 | Oklahoma Health Information Exchange (HIE) Updates webinar | The Office of the State Coordinator for Health Information Exchange (HIE) and State-Designated Entity, MyHealth Access Network, invite participants to a virtual speaking engagement. The webinar will provide an overview of the purpose, framework and coverage of the HIE, the approved emergency rules surrounding broad based exemptions, connection fee assistance, and provider incentive directed payments for those who connect and utilize the HIE. These directed payment incentives can result in a significant reimbursement increase for the provider types listed below. Providers eligible for the directed payments include advanced practice nurses, mid-level practitioners, mental health providers and licensed behavioral health practitioners1, podiatrists, physicians2, and anesthesiologist assistants. Click here to register for the Oklahoma Health Information Exchange (HIE) Updates webinar from 11 a.m.-12:30 p.m., Wednesday, Jan. 24, 2024. 1Behavioral health services by mental health professionals and licensed behavioral health practitioners at community mental health centers are excluded as they participate in a separate directed payment program. 2Services rendered by state employed or contracted physicians are excluded as they participate in a separate directed payment program. Provider Type/Specialty: All |
1/5/24 | Quality Improvement Fluoride Varnish (QIFV) Project Webinar | Provider Types/Specialties: Primary care and pediatric providers doing well-child checks The Oklahoma Health Care Authority is presenting a webinar for SoonerCare providers on Tuesday, Jan. 16. The Quality Improvement Fluoride Varnish (QIFV) project is aimed at increasing the use of fluoride varnish for children in medical clinics, decreasing the incidence of dental caries in SoonerCare children, and improving the overall health of SoonerCare kids. Visit the OHCA Provider Training page to register to attend the QIFV webinar from 2-3:30 p.m., Tuesday, Jan. 16. After registering, you will receive a confirmation email containing information about joining the webinar and reminder emails before the webinar begins. Registrants unable to attend the webinar session should notify SoonerCareEducation@okhca.org to cancel their registration. |
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