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Stoneware Medical Necessity Criteria
for Inpatient Behavioral Health
ServicesOKLAHOMA HEALTH CARE AUTHORITY
Updated: May 26, 2017PURPOSE OF MANUAL ................................................................................................................................3
HCA
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How to fill out soonercare medical necessity criteria
How to fill out soonercare medical necessity criteria
01
To fill out Soonercare medical necessity criteria, follow these steps:
02
Gather all necessary medical documentation, such as medical records, test results, and doctor's recommendations.
03
Read and understand the Soonercare medical necessity criteria guidelines to determine if you or your patient meet the requirements.
04
Complete the Soonercare medical necessity criteria form accurately and thoroughly, providing all requested information.
05
Attach the relevant medical documentation to support your application.
06
Double-check all the information provided to ensure accuracy.
07
Submit the filled-out form and supporting documents to the appropriate Soonercare office or online portal.
08
Await a response from Soonercare regarding the approval or denial of your medical necessity criteria.
Who needs soonercare medical necessity criteria?
01
Soonercare medical necessity criteria are required for individuals who are seeking medical services or treatments covered by Soonercare.
02
This includes eligible Oklahoma residents who meet the income and other qualifications for Soonercare benefits.
03
Healthcare providers and facilities may also need to fulfill Soonercare medical necessity criteria to secure reimbursement for services provided to Soonercare beneficiaries.
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What is soonercare medical necessity criteria?
Soonercare medical necessity criteria are guidelines used to determine if a medical service or treatment is necessary for a patient's health.
Who is required to file soonercare medical necessity criteria?
Healthcare providers are required to file soonercare medical necessity criteria for their patients when seeking approval for certain services or treatments.
How to fill out soonercare medical necessity criteria?
To fill out soonercare medical necessity criteria, healthcare providers must provide detailed information about the patient's condition, treatment plan, and supporting documentation.
What is the purpose of soonercare medical necessity criteria?
The purpose of soonercare medical necessity criteria is to ensure that medical services and treatments are appropriate and necessary for the patient's health and well-being.
What information must be reported on soonercare medical necessity criteria?
Soonercare medical necessity criteria require healthcare providers to report the patient's diagnosis, treatment plan, medical history, and any relevant test results or medical records.
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