Starting Address: This section has been temporarily disabled since Maps is currently down and is being worked on. Attendees will learn more about the policy and procedures of submitting Medicaid primary, Medicaid secondary, HMO co-pay and Medicare crossover claims. Amendment #5 Signed By _____Nursing Facility Attendant . **Please Note: Form must be completed in its entirety or will be considered incomplete and will not be accepted. If you are a Soonercare patient transferring services, please complete this form. Below are examples of different letters you may receive. how to enroll. What can you do in the Soonercare Provider Portal. Your personalized site key token helps you identify that you are at the valid SoonerCare Portal site. Oklahoma Health Care Authority Website. Monoclonal antibody infusion is reimbursable when provided in a hospital outpatient department or physician's office experienced in infusion services. 366.7898 Fax: 405.366.0010 Members living near the Oklahoma state border, who regularly see a SoonerCare-contracted provider across the border, should see no changes, as long as the provider’s office is within 50 miles of the Oklahoma border. NPI numbers should not be used for claims submission until May 23, 2008. Change of Provider. If you recognize your site key token, you know you can safely type your password. Your site key token displays. A Oklahoma Therapist who accepts SoonerCare, may be in network with SoonerCare, or you can make a claim on your SoonerCare insurance as an out of network SoonerCare provider… Effective Dec. 1, OHCA will open coverage for COVID-19 related lab services CPT 87636 and 87637 (see code descriptions below). When a member has an approval for services and wants to switch providers, a new request from the new provider must be submitted and include: HCA-13A– Completed Prior Authorization Attachment Form Cover Sheet Instructions (link) Health Details: OHCA 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.Our goal is to assist the provider network with claims resolution, programs education, and policy interpretation. Contact. First-time applicants can use the online application to complete an enrollment application and sign a provider contract. If you are experiencing difficulties, please try a different Internet browser (Chrome, Firefox, Edge or Safari). Children (members under age 14) may choose pediatricians, family medicine, or general practice providers. This class will provide an in-depth look at the 1500 professional claims submission on the secure provider portal. It would not be appropriate to bill for both these services on the same date of service, unbundle these tests and bill each test separately, or to bill either of these codes and additionally bill any component separately. What can you do in the Soonercare Provider Portal. For people with hearing impairments only, call 1-800-757-5979 (TDD/TTY). The Oklahoma Health Care Authority (OCHA) may also change a member’s enrollment from one Primary Care Provider to another under certain circumstances, such as: This website is not compatible with Internet Explorer. The state default prescriber ID number will change to 9999999995. Specialty Provider Services (405) 522-7301. more contacts » The Oklahoma Health Care Authority (OHCA) is currently accepting proposals from corporations, in an effort to privatize Medicaid and outsource the services that OHCA has successfully provided for decades. Providers who are already enrolled in the SoonerCare Provider program can renew their contract online. Required: Starting Location: Enter a street address or city or zip code from where you will start your drive to the provider by choosing one of the corresponding Google generates locations.The travel distance to each provider will be provided. Submitting prior authorizations on the secure provider portal Resources ; Home > providers:... Email containing information about joining the webinar institutional claims ohca ) announced changes to SoonerCare! Recognize your site key token, do not type your password what documentation is needed when submitted a new authorization! 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