The Oklahoma Health Care Authority will transition to a new health care program, called SoonerSelect, following Governor J. Kevin Stitt’s signing of two delivery reform bills.
SB 1337 codifies the system design for a transformed Medicaid program, which prioritizes access and quality health outcomes for SoonerCare members and creates preferential opportunities for Oklahoma provider led entities to partner with OHCA as contracted entities under this new model.
SB 1396 brings a unique opportunity to invest additional funding into the Oklahoma health care community by drawing down additional federal dollars in the form of supplemental payments to qualifying providers.
Under the law, contracted entities can include accountable care organizations, provider-led entities, commercial plans and/or dental benefit managers
OHCA is required to choose at least three contracted entities for medical services, two contracted entities for dental services, and one contracted entity for the children’s specialty plan.
The following SoonerCare populations will be asked to choose from one of the awarded health plans:
- Children, including foster children
- Low-income parents
- Pregnant Women
- Adults ages 19-64
- American Indian/Alaskan Native members are considered voluntary and will have the option to opt-in to SoonerSelect.
All health plans will provide these new SoonerSelect members the same health care services currently offered by SoonerCare.
But each plan may offer extra benefits to help improve the health of its members.
SoonerSelect members will be able to compare the extra benefits provided by each health plan and choose the right one for them.
The SoonerSelect application will include a choice of plans. Those who do not choose a plan will have one assigned to them. Members will have opportunities to switch their plan.
The anticipated implementation date of the new delivery system is October 1, 2023, subject to the requirements and approval of the Centers for Medicare and Medicaid Services. A medical and dental RFP is expected to be finalized and made public by fall 2022.