Always log off and close all of your browser windows. Nursing Facility Quality Improvement. If you navigate away from this page, you will lose unsaved data. 800-652-2010 Toll Free, Nursing Facility Quality Improvement Oklahoma Health Care Authority Log In - Your Health Improve This site gives you the opportunity to maintain provider information, access claim and prior authorization related functions, and receive messages from the OHCA that apply specifically to you. When in a renewal season, please allow 30-40 business days to process. HCP Provider Portal > Home Requests should include the providers name and ID, contact information, and a brief description of the training need. Call your OKDHS county office. UnitedHealthcare Community Plan of Oklahoma Homepage 405-522-7188, Pharmacy Help Desk Behavioral Health. Pictures or . SoonerCare Traditional covers members who are institutionalized, in state or tribal custody or enrolled under a Home and Community-Based Waiver. The SoonerCare Provider Portal Access form is utilized to assist Providers and Portal Administrators when needing a User ID, Temporary Password, Challenge Question Reset, or PIN Letter. Women who are interested should ask if their health care provider is a certified screening provider. All downloadable PDFs are no longer available. Paid Claim Adjustment Request for Crossover Part B, Dental, CMS 1500. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, HCA-13A Prior Authorization Attachment Form Cover Sheet, OKMMIS Billing Manual - Prior Authorization. In addition to completing the online enrollment application, you may need to fax supporting documentation to the OHCA. Transportation Arrangements: These can include current or new information about program policies and procedures. type. Back to top . 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. Copyright 2020 | Oklahoma Department of Rehabilitation Services | All Rights Reserved. 24A.5 (3), the Oklahoma Health Care Authority is required to post a schedule of its fees with the county clerk and in its principal place of business. Provider Resources - Oklahoma.gov SoonerCare members can call SoonerRide at 1-877-404-4500 or 1-800-722-0353 (TDD). (See the General Agreement and Special Provisions per specialty.) Forms - Oklahoma.gov For retrospective administrative referrals, the fax number has been removed and replaced with an email address: ProviderServicesAdmins@okhca.org. SoonerCare Helpline In addition to completing the online enrollment application, you may need to fax After the OHCA receives your application and supporting documentation, OHCA will Providers may request assistance from a provider education specialist by emailingSoonerCareEducation@okhca.org. Provider How-to Videos Tell Your Story #MySoonerCare Register to Vote IRS 1095-B Form If you need assistance with the online application you can call the SoonerCare helpline at 1-800-987-7767 or visit your local Community Action agency. 800-522-0114 Option 2For the Internet helpdesk or electronic data interchange, Option 3For adjustments or third party liability. PDF Provider Billing and Procedures Manual - Oklahoma.gov For more information, contact your local county health department. Health The Choctaw Nation Health Services Authority (CNHSA) was created to provide healthcare services specifically for the American Indian/Alaskan Native (AI/AN) population. 800-987-7767 Thank you. SoonerRide - Non-emergency transportation. TEFRA (Tax Equity and Fiscal Responsibility Act of 1982) helps children with disabilities who would not otherwise qualify for SoonerCare. Members have a primary care provider who takes care of most of their medical needs or refers them for specialty care as needed. OHCA Provider Services Provider Services Mission Statement 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. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. Secure Provider Portal. To find us, take the Lincoln Boulevard exit off I-44 and head south; we are located on the west side of the street. For claims or policy assistance, please contact the OHCA provider helpline at 800-522-0114. You do not have to complete the application in one session. In Oklahoma, an OHCA provider enrollment contracts representative will conduct these visits for providers that are not already screened by another state or federal agency. OHCA Policies and Rules - Welcome To The Oklahoma Health Care Authority A list of required documents will be displayed to you once you begin your Oklahoma Health Care Authority SoonerCare Supplemental, a plan for people who are covered by Medicare. 405-522-7306. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. will be redirected to the OHCA's SoonerCare Provider Portal. The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals . Please make sure your email address(es), phone number(s) and location are up to date, so you can receive all pertinent OHCA communications. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Provider Types. Hours: 8 a.m. - 7 p.m., M-F, 9 a.m. - 5 p.m., Saturday, Hours: 8 a.m. 5 p.m. M, Tu, Th, F and 1 5 p.m., Wednesday, Option 4 For DME, medical services or emergency prior authorization. application. This form must be emailed to SoonerCareInternetHelpDesk@gainwelltechnologies.com (fax option is no longer available). save your information and return later. With ClaimLink, Network Providers can file claims online through direct data entry without the need for intermediary software. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, For Internet/EVS PIN resets or assistance with SoonerCare Secure Site, For assistance with EDI batch transactions, For questions concerning paid claim adjustments or outstanding A/R inquiries, For health insurance injury/accident questionnaires, third party insurance inquiries, estate recovery or subrogation issues, OHCA Level of Care Evaluation (PASSR for persons with possible mental illness), OKDHS, Children & Family Services Division, OKDHS, Developmental Disabilities Division, Long Term Care Authority (ADvantage Waiver), Oklahoma Department of Mental Health and Substance Abuse Services. SoonerCare Helpline Medical Authorization Unit - for current status of requested services, documentation requirements per type of requested service, and the need for urgent authorization of services. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911. Fee Schedule. (800) 522-0114, option 6. fax. Training is offered on billing through the Provider Portal and use of the Eligibility Verification System (EVS) and Electronic Data Interchange (EDI). 200 ok If you do not recognize your site key token, do not type your password. Non-cooperation with the OHCA representative could affect the provider's enrollment. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Jennifer Wynn Training newly enrolled providers and billers on the SoonerCare Provider Portal. Members must have Medicaid to enroll. Call toll free (800) 522-0114, option 5 for Provider Contracts. Welcome to the online SoonerCare Provider enrollment application. This site gives you the opportunity to maintain provider https://www.ohcaprovider.com/hcp/Default.aspx?alias=www.ohcaprovider.com/hcp/provider Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Provider Resources: Determining Member Eligibility, Provider Resources: Determining Member Eligibility Video. Oklahoma health care authority provider portal Oklahoma health care authority forms Ohca oklahoma health care authority Listing Websites about Oklahoma Health Care Authority Provider Portal Filter Type: Treatment HCP Provider Portal > Home Health CNHSA provides services to this population in Southeastern Oklahoma through a hospital in Talihina and eight outlying clinics throughout the Choctaw Nation reservation. ClaimLink provides access to claims status the business day following submission. Contact Us. They will be in-person meetings. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Oklahoma Health Care Authority PDF Oklahoma Health Care Authority- Medicaid Recovery Audit Contract A telephonic or virtual visit with a provider education specialist may be requested for specific training on a topic. Coversheet for paper attachment to prior authorization. 11: Rehabilitation and Independent Living, Ch. Jennifer Wynn. If you recognize your site key token, you know you can safely type your password. The Automated and Complex audits will be approved by OHCA after the data has been reviewed and audit scenarios approved. HCP Provider Portal > Home ohca provider portal login - tsmodelschools.in This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Member Toolkit - Oklahoma.gov (405) 702-9080 (local) statewide 1-866-574-4991. more contacts . This site gives you the opportunity to maintain provider information, access claim and prior authorization related functions, and receive messages from the OHCA that apply specifically to you. The Oklahoma Health Care Authority's secure portal is intended for providers, clerks and billing agents. Medical Authorization Unit - for current status of requested services, documentation requirements per type of requested service, and the need for urgent authorization of services. SoonerCare is Oklahoma's state-funded managed care program. OHCA Provider Newsletter Oklahoma Health Care Authority sent this bulletin at 04/28/2022 03:05 PM CDT Having trouble viewing this email? Member Enrollment - Oklahoma Health Care Authority Conducts virtual or telephonic educational meetings with providers. Provider Enrollment - Oklahoma.gov Works with other entities to coordinate resolution of provider issues. You will be able to The OHCA rules found on this Web site are unofficial. The documentation is dependent upon your provider Oklahoma City, OK 73105 Provider Enrollment Home (405) 522-6205, option 6 (800) 522-0114, option 6fax (405) 702-9080 (local) statewide 1-866-574-4991more contacts . 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. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Addendum to Hospital Contracts for Psych & Rehab Units, Diabetes Self-Management Education and Support Provider Search, Office of Inspector General Exclusion List. Reviews and process retrospective administrative referrals for the SoonerCare specialty provider network. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. Provider Training - Oklahoma.gov HCP Provider Portal > Home Health (5 days ago) WebWhat can you do in the Soonercare Provider Portal. Forms. Our goal is to assist the provider network with claims resolution, programs education and policy interpretation. SoonerCare Traditional, a comprehensive medical benefit plan that purchases benefits for members on a fee-for-service basis. and Medical Nutrition Therapy:View Recording|View Presentation|View Q&A, Doula Services and SoonerCare:View Recording|View Presentation|View Q&A, Introduction to SoonerCare:View Recording|View Presentation|View Q&A, Medial Prior Authorizations:View Recording|View Presentation, LTC Waiver Overview Training:View Recording, NODOS/eNB1 2022:View Recording|View Presentation|View Q&A, OHCA-Unite Oklahoma Provider Enablement: View Presentation | View Q&A, SoonerCare Choice Referrals:View Recording|View Presentation|View Q&A, SoonerCare Provider Contracts:View Recording|View Presentation|View Q&A, TPL/HMS Webinar:View Recording|View Presentation|View Q&A, Vaccines for Children 2022:View Recording|View Presentation|View Q&A. OHCAs SoonerCare Provider Directory is a listing of all contracted providers. be required to access EPE via Provider Portal in order to complete renewals and updates. The documentation is dependent upon your provider type. Login Enter your assigned user ID and password, then click "Login". SoonerCare Helpline 800-987-7767 Voice 8 a.m.-5 p.m. Monday through Friday Visually impaired and translation services available. Oklahoma Health Care Authority - Open Records Act - Fee Schedule Under 51 Okla. Stat. The SoonerCare Provider Portal Access form is utilized to assist Providers and Portal Administrators when needing a User ID, Temporary Password, Challenge Question Reset, or PIN Letter. *The HCA-17 form is no longer effective as of Jan. 1, 2021. The Focus Forward Oklahoma Program is working to address issues related to access and utilization of long-acting reversible contraceptives (LARC) through policy, education, and communication. Please allow a minimum of 48 hours for processing. Oklahoma City, OK 73105 The OHCA is located on Lincoln Boulevard, just north of the state capitol. Currently scheduled trainings can be seen on our Training Page. Disclaimer: The list of providers does not guarantee appointments as provider offices may have an age restriction or may not be seeing SoonerCare members at this time. The Oklahoma Health Care Authority's secure portal is intended for providers, clerks and billing agents. 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. Hours: 8 a.m. - 12 p.m. and 1 p.m. - 5 p.m., M-F 8 a.m.-5 p.m. Monday through Friday The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. The Oklahoma Health Care Authority's secure portal is intended for providers, clerks and billing agents. Oklahoma Cares provides SoonerCare benefits to women under age 65 who need further diagnostics or treatment for breast or cervical abnormal findings, precancerous conditions or cancer. PDF UPLOADING ATTACHMENTS ON THE OHCA SECURE PROVIDER PORTAL - Oklahoma.gov 877-404-4500. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. 1500 Claim Submission:View Recording|View Presentation|View Q&A, 2022 Patient Centered Medical Home (PCMH) Redesign Webinars, Chiropractors and Soonercare:View Recording|View Presentation|View Q&A, Claims Processing Updates:View Recording|View Presentation|View Q&A, Dental Updates & Changes:View Recording|View Presentation|View Q&A, Dental Prior Authorization and Amendments:View Recording|View Presentation|View Q&A, Diabetes Self-Management Education & Support 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. Members with complex medical needs have access to exceptional needs coordinators to help coordinate and access appropriate care. Our team consists of professional representatives who are committed to establish a long-term partnership with our network providers. More recently, in June 2021, the Oklahoma Supreme Court struck down a planned transition of the state's traditional Medicaid program to managed care, ruling that the Oklahoma Health Care Authority does not have the authority to implement the program without legislative approval. 800-522-0310 You Coversheet for paper attachment to electronic claim. HCA-13A. Once dates of those audits are set they will be announced. 14: Disability Tax Provisions and Special Discounts. OHCA Provider Newsletter - Oklahoma Health Care Authority You have been logged off for data protection. Find a Provider - Oklahoma.gov 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. Claim Tools - Oklahoma.gov It is administered by the Oklahoma Health Care Authority (OHCA) and offers varying health benefit packages. Please close any other windows where the system is open and try again. DRS makes every effort so the content and user's time spent on this website are open to all. Contact Us. Plans and participates in webinars for provider virtual trainings. Contact Us. Option 1 For policy questions Hours: 8 a.m. - 5 p.m., M-F Option 2 For the Internet helpdesk or electronic data interchange Option 1 For Internet/EVS PIN resets or assistance with SoonerCare Secure Site . The Oklahoma Health Care Authority's secure portal is intended for providers, clerks and billing agents. Policy. Global . An Enrollment Agent can continue to create a new enrollment via EPE, but they will Develops educational materials for provider staff to enhance their understanding of the SoonerCare programs. Fee Schedule for Cost of Reasonable Direct Cost of Record Copying .10 PER PAGE SoonerQuit for Providers - aem-prod.oklahoma.gov April 2022 Included in This Edition SoonerCare Member Eligibility Remote Area Medical 2022 Needs Your Help Provider Training Page Consider Prescribing NARCAN to Patients Taking Opioids Certain functions performed on Oklahoma Health Care Authority's secure provider portal require attach-ments to be uploaded and sent to OHCA for review. Financial qualifications for TEFRA consider only the child's income, so the parent's income does not create an obstacle to enrollment. Provider Toolkit - Oklahoma.gov OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. The new application will allow you to search by plan, provider name, facility, specialty, state and city. 800-757-5979 TTY, Care Management Please remember that all SoonerCare-contracted providers are responsible for keeping their provider file current. Documents: MySoonerCare Member Handbook - English | Spanish SoonerCare FAQs - English | Spanish SoonerCare Eligibility Questions OHCAs 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. 877-252-6002 TTY Oklahoma Health Care Authority. Visually impaired and translation services available. The SC-14 form that is used for administrative referrals has been updated. OMES: Employees Group Insurance Division (EGID) - Provider Manual PFPQOCExternalPortal - Login - Welcome To The Oklahoma Health Care Last Modified on Feb 01, 2023. 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. 800-987-7767 Voice It can be found on the forms page of OHCA's public website. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. Your personalized site key token helps you identify that you are at the valid SoonerCare Portal site. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. Oklahoma Health Care Authority Portal - Your Health Improve If not, they can find a screening provider in their area by contacting the Oklahoma State Department of Health at (866) 550-5585. https://www.ohcaprovider.com/hcp/Default.aspx?alias=www.ohcaprovider.com/hcp/provider Provider Portal Access Form Provider Risk Levels Provider Types and Specialties List Providers Subject to On-Site Screening Visits Federal laws require some providers to have on-site screening visits to ensure program integrity as stated in 42 CFR Part 455. Contact Us - Oklahoma.gov Oklahoma Health Care Authority | Oklahoma City OK - Facebook SoonerPlan provides lab tests and office visits, contraceptive products, pregnancy tests, tubal ligations and vasectomies to women and men age 21 or older who do not usually qualify for full benefits under SoonerCare. (405) 522-6205, option 6. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Provider Services - Oklahoma.gov Focus on Excellence 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. Provider Resources OHCA Call Tree Options Toll free: (800) 522-0114. On-site screening visits may be conducted without prior notification or by appointment. HCA-14. These include: SoonerCare Choice, in which each member has a medical home that provides basic health care services. Oklahoma rereleases Medicaid Managed Care RFPs - Health Management Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, SoonerCareInternetHelpDesk@gainwelltechnologies.com, 5010 Companion Guides and NCPDP D.0 Payer Sheet, Uploading Attachments on the Secure Provider Portal. 4345 N Lincoln Blvd. Federal laws require some providers to have on-site screening visits to ensure program integrity as stated in 42 CFR Part 455. 800-652-2010 Toll Free. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Website Requirements. Oklahoma Health Care Authority 4345 N. Lincoln Blvd. The new number is 405-213-1145. The SoonerSelect provider town halls scheduled to begin the week of July 17, 2023, are being rescheduled for August. Focus Forward Oklahoma continues to provide no-cost LARC training to Oklahoma providers, and well offer training for clinical support staff this spring. 877-404-4500. This site gives you the opportunity to maintain provider information, access claim and prior authorization related functions, and receive messages from the OHCA that apply specifically to you. Please log back in if you wish to proceed. Oklahoma Health Care Authority | OK DRS Providers - Oklahoma.gov This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Administers SoonerCare, Oklahoma's Medicaid Program. A list of required documents will be displayed to you once you begin your application. Prior Authorization - Oklahoma.gov rules. You will be redirected to the OHCA's SoonerCare Provider Portal. A. For claims or policy assistance, please contact the OHCA provider helpline at 800-522-0114. These opportunities will be announced through broadcast and banner messages, web alerts and newsletters. Medical Authorizations. 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. 405-522-7179 TTY, Behavioral Health Focus on Excellence. Providers may contact SoonerCareEducation@okhca.org to request training with a Provider Education Specialist. 4345 N Lincoln Blvd. Your site key token displays.

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