Get the free SoonerCare Provider Handbook - okhca
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Este documento proporciona detalles sobre los procedimientos y políticas relativos a las derivaciones en el programa SoonerCare, incluyendo quién puede hacer derivaciones, la necesidad de autorizaciones
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How to fill out soonercare provider handbook
How to fill out SoonerCare Provider Handbook
01
Obtain the latest version of the SoonerCare Provider Handbook from the official SoonerCare website.
02
Read the introduction section to understand the purpose and scope of the handbook.
03
Navigate through the table of contents to locate specific sections relevant to your practice.
04
Carefully review each section, paying special attention to guidelines on billing, services covered, and patient eligibility.
05
Take notes on key points, requirements, and any forms you might need to complete.
06
Mark important dates related to updates, renewals, or changes in policies.
07
For any unclear areas, consult the FAQ section or reach out to SoonerCare representatives for clarification.
08
Keep the handbook accessible for regular reference in your daily operations.
Who needs SoonerCare Provider Handbook?
01
Healthcare providers participating in the SoonerCare program.
02
Medical facilities offering services to SoonerCare members.
03
Administrative staff managing patient care under SoonerCare.
04
New providers onboarding into the SoonerCare system.
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People Also Ask about
At what age does SoonerCare stop in Oklahoma?
In general, the following groups of individuals may qualify for SoonerCare services: Adults with children under 19. Children under 19 and pregnant women. Adults, not eligible for Medicare, age 19-64.
At what age does SoonerCare stop in Oklahoma?
In general, the following groups of individuals may qualify for SoonerCare services: Adults with children under 19. Children under 19 and pregnant women. Adults, not eligible for Medicare, age 19-64.
What is the new Medicaid program 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 are the three types of SoonerCare?
You can choose between three health plans: Aetna Better Health of Oklahoma, Humana Healthy Horizons of Oklahoma and Oklahoma Complete Health.
What is SoonerCare called now in Oklahoma?
SoonerSelect is a health care delivery system to facilitate member care, costs and quality. Oklahoma will partner with health and dental plans to coordinate the care for most members.
What's the difference between SoonerCare and SoonerSelect?
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. SoonerCare is the name for Oklahoma's Medicaid Program. Sometimes, these words are used in place of each other.
Is Oklahoma complete health the same as SoonerCare?
WHO ARE THE SOONERSELECT HEALTH PLANS? SoonerSelect health plans include Aetna Better Health of Oklahoma (Aetna), Humana Healthy Horizons in Oklahoma (Humana) and Oklahoma Complete Health. Members may contact the health plans or Oklahoma Health Care Authority (OHCA) at 800-987- 7767 for more information.
What replaced SoonerCare?
Under SoonerSelect, patients have the option between three plans: Aetna Better Health of Oklahoma, Humana Healthy Horizons and Oklahoma Complete Health.
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What is SoonerCare Provider Handbook?
The SoonerCare Provider Handbook is a comprehensive manual that outlines the policies, procedures, and guidelines for providers participating in the SoonerCare program, which is the Medicaid program in Oklahoma.
Who is required to file SoonerCare Provider Handbook?
All healthcare providers who wish to participate in the SoonerCare program are required to file and comply with the SoonerCare Provider Handbook.
How to fill out SoonerCare Provider Handbook?
To fill out the SoonerCare Provider Handbook, providers should carefully read each section, complete required forms, gather necessary documentation, and submit them as per the guidelines outlined in the handbook.
What is the purpose of SoonerCare Provider Handbook?
The purpose of the SoonerCare Provider Handbook is to provide clear guidance to providers on the expectations, requirements, and best practices for delivering services under the SoonerCare program.
What information must be reported on SoonerCare Provider Handbook?
Providers must report information such as provider qualifications, service delivery methods, billing procedures, and any changes in treatment or operational practices as required by the SoonerCare Provider Handbook.
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