The main focus of an educational specialist is: Webinars, including SoonerCare 101 training sessions, are scheduled monthly to educate providers on Oklahoma SoonerCare claim processing procedures, billing requirements and policy updates. Works with other entities to coordinate resolution of provider issues. To apply for SoonerCare for children, pregnant women, parents of minor children or Family Planning, you can go to. Call 1-800-987-7767 and ask for an agency or community partner location near you. This website is not compatible with Internet Explorer. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Oklahoma Medicaid office. Oklahoma SoonerCare has a team of educational specialists with in-depth knowledge of SoonerCare billing requirements and claim processing procedures. SoonerCare (Oklahoma Medicaid) is a health coverage program that offers a variety of health care services for 1 in 4 Oklahomans. For those hoping to qualify for Medicaid and looking for assistance with the application process, it is important to recognize that the state is not always the … The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. Researches and resolves legislative inquiries. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Download the Provider Quick Reference Guide here. Legal: Appeals/Grievances. Training is offered on billing through the Provider Portal and use of the Eligibility Verification System (EVS) and Electronic Data Interchange (EDI). SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability. Enter your ATN and SSN or FEIN number to review your application status. Develops educational materials for provider staff to enhance their understanding of the SoonerCare programs. The name of the state program is SoonerCare. Find 181 listings related to Sooner Care Customer Service Help Desk Phone Number in Oklahoma City on YP.com. Last updated: October 11, 2017. In addition to providing training through virtual visits and webinars, staff can also assist providers with contract renewals through Electronic Provider Enrollment. Download the Provider Quick Reference Guide here. Current or recent health insurance information. In the table below are direct links to each states’ Medicaid office website. Researches and interprets Oklahoma SoonerCare policies for providers and other state agencies and educates staff within OHCA and its contracted partners. You can also call the Federally Facilitated Marketplace (FFM) at 1-800-318-2596 and request a paper application. September 13, 2016, Health Care for Children with Disabilities (TEFRA), Health Screening, Diagnosis and Treatment (EPSDT). Identity and citizenship information, or alien registration information. SoonerCareEducation@okhca.org. How To Use Insure Oklahoma's Employer Sponsored Insurance plan helps employers provide their eligible employees with affordable health care. If you must travel a long distance that requires an overnight stay in order to access SoonerCare approved medical services with a specialist doctor, then you can contact the Population Care Management Division at 877-252-6002 to request help with lodging and/or meals during your trip. Training newly enrolled providers and billers on the SoonerCare Provider Portal. OHCA Long Term Care Claims. For immediate assistance with claim research or resolution of other Oklahoma SoonerCare issues, contact the OHCA call center at 405-522-6205 or 800-522-0114. SoonerCare is Oklahoma’s Medicaid program. Our goal is to assist the provider network with claims resolution, programs education and policy interpretation. SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability. The following programs are a part of SoonerCare: Aged, Blind and Disabled; Family Planning; Health Care for Children with Disabilities (TEFRA); and Health Screening, Diagnosis and Treatment (EPSDT). SoonerCare (Medicaid) Eligibility Tool Medicare Eligibility Tool Phone: (405) 521-3679 Fax: (405) 521-4158 Sequoyah Memorial Office Building 2400 Lincoln Blvd. It looks like your browser does not have JavaScript enabled. Meet financial income and resources standards in certain categories. For immediate assistance with claim research or resolution of other Oklahoma SoonerCare issues, contact the OHCA call center at 405-522-6205 or 800-522-0114. Mon., Tues., Thurs., Fri., and 1 – 5 p.m. Wed.) Please remember that all SoonerCare-contracted providers are responsible for keeping their provider file current. Visit your local county office to apply for services. OHCA’s 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. Conducts virtual or telephonic educational meetings with providers. Medicaid (SoonerCare) is health care for eligible persons who … When providers are performing medically necessary polymerase chain reaction (PCR), laboratory testing for combinations of COVID-19 and Influenza A&B, or combinations of COVID-19, Influenza A&B and RSV, these are the appropriate codes to bill. The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. To assist the provider education specialists in planning and structuring the visit or group training, the following information should be emailed to SoonerCareEducation@okhca.org: Point of contact if additional information is needed prior to the event. Please make sure your email address(es), phone number(s) and location are up to date, so you can receive all pertinent OHCA communications. For general questions and information for SoonerCare members, please call the SoonerCare Helpline at (800) 987-7767. If you are experiencing difficulties, please try a different Internet browser (Chrome, Firefox, Edge or Safari). Applicants who want to use a paper form can download a form from the federal website or healthcare.gov. For immediate assistance with claim research or resolution of other Oklahoma SoonerCare issues contact the OHCA Call Center at (405) 522-6205 or (800) 522-0114. Oklahoma City, OK 73105 Mailing Address: PO Box 25352 Oklahoma City, OK 73125 Visit … Form from the federal website or healthcare.gov ( PASSR for persons with possible mental illness ) ( 405 522-7133. Soonercare issues, contact the Internet Help Desk at 800-522-0114, option for. Soonercare ( Oklahoma Medicaid office Date: November 6, 2020 Meals form. 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