What All Providers Need to Know about the Soon-to-be-Sooners Program
The Soon-to-be-Sooners (STBS) program provides coverage for services that benefit the unborn child. While a pregnant mother applies for STBS, the approved application marks the unborn child’s enrollment in the program. Physical, mental or behavioral healthcare services that are medically necessary to benefit the unborn child may be provided. These services are not limited to pregnancy-related services.
For the unborn child to qualify for STBS, the pregnant mother must:
Have household income up to 185% FPL
Be ineligible for any Title XIX eligibility group
Reside in Oklahoma
Not be covered by creditable insurance
Ordinary citizenship and immigration status requirements are not applicable to the unborn child population.
STBS services may include:
Routine office visits that benefit the unborn child
Medications that benefit the unborn child
Ultrasounds that benefit the unborn child
Lab services that benefit the unborn child
Some specialty services when those services benefit the unborn child
Hospital services that benefit the unborn child
Mental health services that benefit the unborn child
Substance use disorder services that benefit the unborn child
Services associated with miscarriage or a non-viable pregnancy, such as a molar pregnancy, ectopic pregnancy, or fetal death in utero
Miscarriages and non-viable pregnancies do sometimes occur. In these difficult circumstances, STBS covers services that may be necessary for the compassionate or palliative care of the unborn child, as well as those services necessary to support and resolve all outcomes of pregnancy.