Get the free SoonerCare Rural Health Clinic Provider Agreement - okhca
Show details
Este documento es un acuerdo entre el Oklahoma Health Care Authority y un proveedor para la provisión de servicios de salud a los miembros de programas de Medicaid, conocidos como SoonerCare.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign soonercare rural health clinic
Edit your soonercare rural health clinic form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your soonercare rural health clinic form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing soonercare rural health clinic online
Follow the steps down below to take advantage of the professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit soonercare rural health clinic. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
With pdfFiller, it's always easy to work with documents.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out soonercare rural health clinic
How to fill out SoonerCare Rural Health Clinic Provider Agreement
01
Obtain the SoonerCare Rural Health Clinic Provider Agreement form from the Oklahoma Health Care Authority website or your local office.
02
Fill out the provider's information section, including name, address, and contact details.
03
Provide details regarding the services the clinic offers and the patient population served.
04
Indicate the clinic's Medicaid enrollment status and provide Medicaid provider numbers if applicable.
05
Specify the type of clinic, such as rural health clinic or other applicable classifications.
06
Sign and date the agreement to acknowledge understanding of the terms and conditions.
07
Submit the completed agreement to the Oklahoma Health Care Authority for processing.
Who needs SoonerCare Rural Health Clinic Provider Agreement?
01
Healthcare providers operating a rural health clinic in Oklahoma.
02
Any clinic seeking to provide services to SoonerCare members.
03
Clinics that want to be reimbursed for services provided to Medicaid patients.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is SoonerCare Rural Health Clinic Provider Agreement?
The SoonerCare Rural Health Clinic Provider Agreement is a contractual document that establishes the terms and conditions under which healthcare providers can offer services to patients enrolled in the SoonerCare program, which is Oklahoma's Medicaid program.
Who is required to file SoonerCare Rural Health Clinic Provider Agreement?
Rural health clinics that wish to participate in the SoonerCare program and receive Medicaid reimbursement for services rendered are required to file the SoonerCare Rural Health Clinic Provider Agreement.
How to fill out SoonerCare Rural Health Clinic Provider Agreement?
To fill out the SoonerCare Rural Health Clinic Provider Agreement, healthcare providers should follow the guidelines provided by the Oklahoma Health Care Authority, ensuring that all required fields are completed accurately and supporting documentation is attached as needed.
What is the purpose of SoonerCare Rural Health Clinic Provider Agreement?
The purpose of the SoonerCare Rural Health Clinic Provider Agreement is to outline the responsibilities and obligations of healthcare providers in delivering services to SoonerCare members, ensuring compliance with state and federal regulations and facilitating reimbursement for provided services.
What information must be reported on SoonerCare Rural Health Clinic Provider Agreement?
The SoonerCare Rural Health Clinic Provider Agreement must report information such as clinic details, provider qualifications, staff information, federal tax identification number, and any relevant licensure or certification details necessary for participation in the SoonerCare program.
Fill out your soonercare rural health clinic online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
Soonercare Rural Health Clinic is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
