Provider Reimbursement Notices

For further assistance with reimbursement, contact us at ProvReimb@okhca.org

LETTER #	ISSUE DATE	SUBJECT	eFF. DATE
2024-02	4/16/24	SHOPP Update
2024-01	1/24/24	SHOPP Update
2023-08	11/2/23	Hospital DRG Rebase
2023-07	10/13/23	SHOPP Directed Payments
2023-06	10/4/23	Hospital DRG Update
2023-05	9/28/23	FFY 2024 Hospice Rate Update	10/1/2023
2023-04	8/15/23	Senate Bill 32x
2023-03	8/2/23	ESRD Rate Update	07/1/2023
2023-02	8/2/23	Annual FQHC and RHC Rate Update
2023-01	4/27/23	Hospital Potentially Preventable Readmissions
2022-12	12/19/22	CY2022 SHOPP Additional Payment
2022-11	12/6/22	DSH Calculation Update
2022-10	10/13/22	Hospital DRG Rebase
2022-09	9/27/2022	FFY 2023 Hospice Rate Update	10/1/2022
2022-08	9/1/2022	Hospitals Billing of the TC Modifier
2022-07	7/1/2022	Annual FQHC and RHC Rate Update
2022-06	7/6/2022	ESRD Rate Update
2022-05	4/15/2022	Hospital Potentially Preventable Readmissions
2022-04	4/15/2022	SHOPP Update
2022-03	3/9/2022	National Correct Coding Initiative Program (NCCI) – Outpatient Facility Claims
2022-02	2/2/2022	Annual Hospice Rate Update
2022-01	1/12/2022	Long-Acting Reversible Contraceptives in an FQHC
2021-11	12/20/2021	CY2022 SHOPP, FFY2022 DSH, and DRG Code Updates
2021-10	11/9/2021	Inpatient Admitting Update
2021-09	10/7/2021	Hospital DRG for Split Eligible Expansion Members
2021-08	10/7/2021	Hospital DRG Rebase
2021-07	7/1/2021	Annual FQHC and RHC Rate Update
2021-06	7/1/2021	Annual ESRD rate update
2021-05	5/5/2021	CY2021 Supplemental Hospital Offset Payment Program (SHOPP) Update
2021-04	4/2/2021	Hospital Possibly Preventable Readmissions
2021-03	2/1/2021	SHOPP Update
2021-02	1/27/2021	Hospital DRG Recycle
2021-01	1/20/2021	CY 2021 Hospice Rate Update
2020-12	12/29/2020	CY2021 Supplemental Hospital Offset Payment Program (SHOPP) Info
2020-11	12/14/2020	Outpatient Hospital Infusion of Remdesivir	12/14/2020
2020-10	12/8/2020	Hospital DRG Rebase UPDATE
2020-09	10/1/2020	Hospital DRG Rebase
2020-08	9/28/2020	FQHC Same Day Encounters
2020-07	7/1/2020	Annual FQHC and RHC Rate Update	7/1/2020
2020-06	7/1/2020	ESRD Rate Update	7/1/2020
2020-05	5/11/2020	Hospital Potentially Preventable Readmissions (PPR)
2020-04	4/14/2020	Disproportionate Share Hospital (DSH) Update
2020-03	3/27/2020	Supplemental Hospital Offset Payment Program (SHOPP) Update	1/1/2020
2020-02	3/27/2020	Telehealth at an FQHC or RHC
2020-01	1/31/2020	Annual Hospice Rate Update	1/1/2020
2019-10	10/24/2019	Hospital DRG Update	10/1/2019
2019-09	10/10/2019	Rural Health Clinic (RHC) Rate Update	7/1/2019
2019-08	10/3/2019	ESRD Rate Update	10/1/2019
2019-07	10/3/2019	Hospital DRG and Other Updates	10/1/2019
2019-06	8/30/2019	APC and ASC Rate Correction	8/30/2019
2019-05	7/15/2019	Annual ESRD Rate Update	7/1/2019
2019-04	7/3/2019	Annual FQHC and RHC Rate Update	7/1/2019
2019-03	6/26/2019	Annual Medicare Cost Report Submission
2019-02	4/30/2019	Hospital Potentially Preventable Readmissions	4/30/2019
2019-01	4/15/2019	Hospital DRG Update	4/15/2019
2018-03	10/3/2018	Hospital DRG and Other Updates	10/1/2018
2018-02	4/17/2018	Hospital PPR Program Update
2018-01	1/11/2018	SHOPP Update
2017-12	12/19/2017	Private Duty Nursing Rate Update	10/1/2017
2017-10	1/2/2018	ESRD Rate Update	1/1/2018
2017-11	12/19/2017	Annual Hospice Rate Update	1/1/2018
2017-09	12/19/2017	Hospital DRG and Other Updates	1/1/2018
2017-08	10/25/2017	Hospital DRG Release Update
2017-07	7/1/2017	Annual ESRD Rate Update	7/1/2017
2017-06	7/1/2017	Annual FQHC and RHC Rate Update	7/1/2017
2017-05	4/25/2017	Hospital PPR Program Update
2017-04	4/19/2017	Outpatient Hospital Claims Processing Update	1/1/2017
2017-03	1/6/2017	Hospital DGR Rebase Update	1/1/2017
2017-02	1/3/2017	Hospital Update	1/1/2017
2017-01	1/3/2017	Annual Hospice Rate Update	1/1/2017
2016-06	10/20/2016	Hospital DRG Rebase
2016-05	6/23/2016	Annual ESRD Rate Update	7/1/2016
2016-04	6/23/2016	Annual FQHC and RHC Rate Update	7/1/2016
2016-03	5/17/2016	Hospice Payment Change
2016-02	4/18/2016	Hospital PPR Program Update
2016-01	4/15/2016	SHOPP Update
2015-16	12/29/2015	ESRD Rate Update	1/1/2016
2015-15	12/29/2015	Hospital Update	1/1/2016
2015-14	11/16/2015	Hospital DRG Neonate Correction	10/1/2015
2015-13	10/7/2015	CY 2015 SHOPP Revision	10/1/2015
2015-12	10/6/2015	Annual FQHC Rate Update	7/1/2015
2015-11	9/30/2015	Annual ESRD Rate Update	7/1/2015
2015-10	9/28/2015	Hospital Updates - LARC
2015-09	9/8/2015	DRG Hospital Update	10/1/2015
2015-08	7/21/2015	Payment for Hospital Outpatient Services	7/1/2015
2015-07	7/20/2015	Hospital DRG Changes	7/1/2015
2015-06	6/22/2015	Annual FQHC and RHC Rate Update	7/1/2015
2015-05	6/22/2015	Annual ESRD Rate Update	7/1/2015
2015-04	6/18/2015	Disproportionate Share Hospital (DSH) Payments
2015-03	6/4/2015	ESRD Update
2015-02	6/4/2015	Hospital PPR Update	1/1/2015
2015-01	6/4/2015	FQHC Change	4/1/2015
2014-07	8/13/2014	Annual FQHC and RHC Rate Update	7/1/2014
2014-06	7/17/2014	Hospital Updates	7/1/2014
2014-05	7/14/2014	SHOPP CY2014	7/1/2014
2014-04	6/2/2014	RHC Notice	6/10/2014
2014-03	3/24/2014	ESRD Rate Update	3/26/2014
2014-02	2/26/2014	FQHC Dental Claims with TPL
2014-01	1/28/2014	DRG & ICD 10
2013-16	12/19/2013	SHOPP CY2013 Revision	12/26/2013
2013-15	11/15/2013	Nursing Home Focus on Excellence Letter	1/1/2014
2013-14	11/7/2013	Hospital Presumptive Eligibility Survey	1/1/2014
2013-13	10/4/2013	FQHC Claims with TPL
2013-12	9/30/2013	Hospital Presumptive Eligibility	1/1/2014
2013-11	7/16/2013	SHOPP Payment Change	7/1/2013
2013-10	7/10/2013	Split Elig DRG Adjustment
2013-09	6/27/2013	Annual ESRD Rate Update	7/1/2013
2013-08	6/27/2013	Annual Hospice Rate Update	7/1/2013
2013-07	6/27/2013	Annual FQHC & RHC Rate Update	7/1/2013
2013-06	6/19/2013	Outpatient Labor & Delivery Observation
2013-05	6/12/2013	SHOPP CY2011 Revision	6/19/2013
2013-04	5/17/2013	FFY2012 Disproportionate Share Hospital (DHS) Audit Process
2013-03	5/23/2013	FQHC FP Billing	7/1/2013
2013-02	1/31/2013	OHCA Call Center Vendor & Call Center Questions	4/1/2013
2013-01	1/9/2013	Hospital Updates	1/1/2013
2012-09	10/28/2012	FFY13 Disproportionate Share Hospital (DSH) Calculation Clarification
2012-08	10/30/2012	DRG Rebase & DRG Claims Correction
2012-07	10/23/2012	SHOPP CY2012 Revision	10/1/2012
2012-06	6/18/2012	FQHC & RHC Rate Update	7/1/2012
2012-05	5/24/2012	DSH Update
2012-04	5/24/2012	EHR Payment Calculation and Adjustments
2012-03	5/24/2012	ESRD Update and Guidance	7/1/2012
2012-02	5/24/2012	Inpatient From and Thu Dates	7/1/2012
2012-01	2/24/2012	SHOPP Updates	7/1/2011
2011-05	6/28/2011	Annual FQHC and RHC rate update	7/1/2011
2011-04	6/28/2011	Annual ESRD Rate Update and Payment Methodology Notice
2011-03	7/6/2011	FQHC and RHC Claim Fluoride Varnish Billing	7/1/2011
2011-01	3/22/2011	Hospital Online Enrollment-2nd REVISION
2011-01	3/3/2011	Hospital Online Enrollment-REVISED
2011-02	1/18/2011	APC & ASC Fee Schedule Update	1/1/2011
2011-01	12/17/2010	Hospital Online Enrollment
2010-06	08/19/10	RHC Multiple Encounters
2010-05	06/10/10	FQHC Claims – TPL & TOB
2010-04	05/13/10	Hospital DSH Audit Notice
2010-03	03/11/10	Hospital Updates	00/00/00
2010-02	10/30/09	Hospital Never Events, Annual Rebasing, Outpatient Updates	00/00/00
2010-01	08/14/09	Hospital Updates	00/00/00
2009-17	06/25/09	Hospice rate update	07/01/09
2009-16	06/24/09	FQHC Claims For Behavioral Health Services	07/01/09
2009-15	06/05/09	FQHC Claims For Services Outside The PPS Rate Reprocessing Date	06/08/09
2009-14	05/19/09	Outpatient Claims Processing Fix /Inpatient POA Ind Timeline REV	06/01/09
2009-13	05/15/09	FQHC System Fix For Services Outside The PPS Rate	06/01/09
2009-12	04/13/09	FQHC Claims Adjustment / System Issue Follow-up
2009-11	02/27/09	Outpatient Claims Processing Error /Inpatient Notification Reminder	01/01/09
2009-10	02/03/09	FQHC system issues on services outside the PPS rate	01/01/09
2009-09	01/30/09	DRG Base Rate Correction	01/01/09
2009-08	01/08/09	Outpatient BH Agency Providers - Billing Updates and Clarifications	03/01/09
2009-07	12/22/08	DRG Claims Processing Error	12/14/08
2009-06	11/24/08	Annual ESRD Rate Update REVISED	07/01/08
2009-05	11/17/08	Ambulatory Surgery Center Claim Changes	01/01/09
2009-04	11/21/08	Inpatient Notification and APC Changes	01/01/09
2009-03	10/27/08	RHC Medical Home Update	01/01/09
2009-02	10/13/08	Outpatient Hospital – Processing Changes and SFY08 TOP
2009-01	10/10/08	Annual DRG Rebasing	01/01/09
2008-03	05/27/08	Annual ESRD Rate Update	07/01/08
2008-02	05/27/08	Annual FQHC and RHC Rate Update	07/01/08
2008-01	04/02/08	FQHC Update – SoonerCare Choice Redesign	01/01/09
2007-06	10/01/07	Final DSH and Outpatient Hospital Supplemental Payment
2007-05	08/31/07	Annual DRG Rebasing Review	01/01/08
2007-04	07/20/07	DRG Claims Payment Error
2007-03	04/25/07	Split Eligible Claim Processing Update
2007-02	03/05/07	FFY08 DSH application process and misc info
2007-01	02/08/07	FQHC Billing Updates
2006-08	12/08/06	Home Health Private Duty Nursing Rate Increase	01/01/07
2006-07	11/07/06	Disproportionate Share Hospital Forum (Lawton)	12/05/06
2006-06	11/02/06	Disproportionate Share Hospital Forum (Tulsa)	11/27/06
2006-05	11/27/06	Changes to SoonerCare Hospital Reimbursement (final)	01/01/07
2006-04	10/25/06	Changes to SoonerCare Hospital Reimbursement (proposed)	01/01/07
2006-03	10/25/06	Disproportionate Share Hospital Forum (OKC)	11/07/06
2006-02	09/27/06	Changes to Blood Reimbursement	10/01/06
2006-01	09/26/06	Changes to Psychiatric Residential Treatment Facilities (PRTF)	10/01/06

Last Modified on Apr 16, 2024