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State of Oklahoma Stoneware Polio (Elinor) Prior Authorization Form Member Name:___ Date of Birth:___ Member ID#:___Drug Information Pharmacy billing (NDC:___) Start Date (or date of next dose):___ Dose:___
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How to fill out state of oklahoma soonercare

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Visit the Oklahoma Medicaid website or contact the local Department of Human Services office to determine eligibility for Soonercare.
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Fill out the application form accurately with all required information.
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Attach any necessary documents such as income statements, identification, and proof of residency.
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Submit the completed application either online, in person, or by mail.
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Wait for a decision on eligibility and follow any additional steps as advised by the Medicaid office.

Who needs state of oklahoma soonercare?

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Individuals with low income or disabilities who need access to healthcare services.
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Soonercare is the name of Oklahoma's Medicaid program.
People who meet eligibility requirements for Medicaid in Oklahoma are required to file for Soonercare.
You can fill out an application for Soonercare online, by mail, or in person at a local Department of Human Services office.
The purpose of Soonercare is to provide health care coverage to eligible low-income individuals and families in Oklahoma.
You must report information such as income, household size, and any other relevant financial information.
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