Form preview

Get the free SoonerCare 1115(a) Amendment Request

Get Form
Indian/Tribal/Urban Indian Patient Centered Medical Home (I/T/U PCM) Provider Application The Oklahoma Health Care Authority (HCA) is committed to partnering with our Indian Health Service/Tribal/Urban
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign soonercare 1115a amendment request

Edit
Edit your soonercare 1115a amendment request form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your soonercare 1115a amendment request form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit soonercare 1115a amendment request online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Check your account. In case you're new, it's time to start your free trial.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit soonercare 1115a amendment request. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Try it for yourself by creating an account!

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.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out soonercare 1115a amendment request

Illustration

How to fill out soonercare 1115a amendment request

01
Download the Soonercare 1115a amendment request form from the official website.
02
Fill out the form with accurate and detailed information.
03
Double-check all the information provided in the form for accuracy.
04
Submit the completed form along with any required documents to the designated office or online portal.

Who needs soonercare 1115a amendment request?

01
Providers or organizations participating in the Soonercare program that need to request an amendment to their 1115a agreement.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
50 Votes

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.

Get and add pdfFiller Google Chrome Extension to your browser to edit, fill out and eSign your soonercare 1115a amendment request, which you can open in the editor directly from a Google search page in just one click. Execute your fillable documents from any internet-connected device without leaving Chrome.
Yes. With pdfFiller for Chrome, you can eSign documents and utilize the PDF editor all in one spot. Create a legally enforceable eSignature by sketching, typing, or uploading a handwritten signature image. You may eSign your soonercare 1115a amendment request in seconds.
Complete soonercare 1115a amendment request and other documents on your Android device with the pdfFiller app. The software allows you to modify information, eSign, annotate, and share files. You may view your papers from anywhere with an internet connection.
The soonercare 1115a amendment request is a request to amend the 1115a waiver in the SoonerCare program in Oklahoma.
Entities participating in the SoonerCare program in Oklahoma are required to file the 1115a amendment request.
The soonercare 1115a amendment request can be filled out online through the specified portal provided by the state's Medicaid agency.
The purpose of the soonercare 1115a amendment request is to propose changes and updates to the 1115a waiver in the SoonerCare program.
The soonercare 1115a amendment request must include details of the proposed changes, impact analysis, and any supporting documentation.
Fill out your soonercare 1115a amendment request 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.

Get started now
Form preview
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.