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Este Addendum tiene como objetivo que OHCA y el PROVEEDOR contraten servicios de PCP en el programa Médico Home de SoonerCare Choice de OHCA.
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How to fill out ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS
01
Obtain the ADDENDUM 1 form from the official SoonerCare website or your local SoonerCare office.
02
Review the requirements and guidelines provided in the form carefully.
03
Fill out your personal information at the top of the form, including your name, contact information, and any identification numbers required.
04
Provide the necessary details about your primary care practice, including the practice name, address, and contact details.
05
Indicate your status as a choice primary care provider by checking the appropriate box or section.
06
Complete sections that pertain to the services you provide and the patient populations you serve.
07
Sign and date the document at the bottom to verify that all information is accurate and complete.
08
Submit the completed form to the appropriate SoonerCare office via mail or in person.
Who needs ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS?
01
Primary care providers who wish to participate in the SoonerCare program.
02
Healthcare facilities looking to designate their services as a medical home.
03
Providers seeking to receive compensation for services under the SoonerCare plan.
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What is ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS?
ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS is a supplementary document that outlines specific terms and conditions for primary care providers participating in the SoonerCare program, which aims to improve health outcomes for members.
Who is required to file ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS?
All primary care providers who wish to participate in the SoonerCare program and provide services as part of the Medical Home model are required to file this addendum.
How to fill out ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS?
To fill out the addendum, providers should carefully complete all required sections, including provider details, certification statements, and any necessary attachments as specified in the instructions provided with the addendum.
What is the purpose of ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS?
The purpose of the addendum is to formalize the agreement between primary care providers and SoonerCare, ensuring compliance with program requirements and promoting coordinated care and management of patients' health.
What information must be reported on ADDENDUM 1–MEDICAL HOME TO SOONERCARE PHYSICIAN AGREEMENT FOR CHOICE PRIMARY CARE PROVIDERS?
Providers must report personal and practice information, the scope of services offered, participation agreements, quality improvement strategies, and any relevant certifications or accreditations.
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