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This document outlines the agreement between the Oklahoma Health Care Authority and providers for the delivery of healthcare services to Oklahoma Medicaid members through the SoonerCare program.
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How to fill out soonercare provider agreement
How to fill out SoonerCare Provider Agreement
01
Download the SoonerCare Provider Agreement form from the official website.
02
Read the instructions carefully to understand all requirements.
03
Fill out the provider information section, including name, address, and contact details.
04
Provide information about your practice, including type of services offered and any relevant certifications.
05
Sign and date the agreement at the designated section.
06
Attach any required documentation, such as copies of licenses or certifications.
07
Submit the completed agreement via mail or fax to the appropriate SoonerCare office.
Who needs SoonerCare Provider Agreement?
01
Any healthcare provider or organization that intends to offer services to SoonerCare beneficiaries.
02
Providers in various fields, including doctors, specialists, therapists, and hospitals.
03
Healthcare professionals who seek reimbursement for services rendered to eligible SoonerCare patients.
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People Also Ask about
What replaced SoonerCare in Oklahoma?
Most SoonerCare members will get their health care services covered in a new way in 2024 – through health and dental plans. This new healthcare delivery model is called SoonerSelect. Oklahoma Health Care Authority has selected three health plans to provide coordinated, whole-person care for enrollees.
What is the income limit to qualify for SoonerCare in Oklahoma?
SoonerCare and Insure Oklahoma Income Guidelines - 2025 SIZE OF HOUSEHOLDMinimum Monthly IncomeMaximum Monthly Income 2 $2,451 $4,019 3 $3,088 $5,063 4 $3,726 $6,110 5 $4,362 $7,1544 more rows • Mar 24, 2025
What is the new name for SoonerCare?
If AI/AN members do not choose to enroll in SoonerSelect, they will remain in their current SoonerCare program and continue receiving services in the same way. If an AI/AN member opts in to SoonerSelect but does not pick a plan, OHCA will assign a SoonerSelect plan to the member.
What is the difference between Oklahoma Medicaid and SoonerCare?
SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources.
At what age does SoonerCare stop in Oklahoma?
SoonerCare (Oklahoma Medicaid) provides health care services for children covered by SoonerCare from birth through 19 years of age.
Is Oklahoma complete health the same as SoonerCare?
SoonerPlan is a benefit plan that covers limited services related to family planning. SoonerPlan provides family planning services and contraceptive products to women and men age 19 and older who do not choose or typically qualify for full SoonerCare benefits.
Is Oklahoma getting rid of SoonerCare?
Due to COVID-19, Medicaid renewals were paused. However, Oklahoma will soon be required to restart eligibility reviews for all SoonerCare members. You or someone in your household is currently ineligible and will lose coverage at a date determined by OHCA.
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What is SoonerCare Provider Agreement?
SoonerCare Provider Agreement is a legal document that outlines the terms and conditions under which healthcare providers agree to deliver services to SoonerCare members.
Who is required to file SoonerCare Provider Agreement?
Healthcare providers who wish to participate in the SoonerCare program and receive payment for services rendered to SoonerCare members are required to file the SoonerCare Provider Agreement.
How to fill out SoonerCare Provider Agreement?
To fill out the SoonerCare Provider Agreement, providers must complete the application form provided by SoonerCare, ensuring that all required information is accurate and submitted as per the guidelines outlined by the program.
What is the purpose of SoonerCare Provider Agreement?
The purpose of the SoonerCare Provider Agreement is to establish a formal relationship between SoonerCare and healthcare providers, ensuring compliance with program regulations and facilitating the delivery of healthcare services to eligible members.
What information must be reported on SoonerCare Provider Agreement?
Providers must report information such as their clinical credentials, practice information, billing details, and any other relevant data that demonstrates compliance with SoonerCare regulations.
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