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State of Oklahoma Stoneware Reeves (Selpercatinib) Prior Authorization Form Member Name:___ Date of Birth:___ Member ID#:___Drug Information Pharmacy Billing (NDC:___) Start Date (or date of next
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01
Gather all necessary documents such as proof of identity, proof of residency, and proof of income.
02
Visit the official website of Oklahoma SoonerCare and click on the 'Apply Now' button.
03
Create an account by providing your personal information such as name, date of birth, and social security number.
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Fill out the application form with accurate information and answer all the required questions.
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Upload or submit the necessary documents as specified in the application.
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Submit your application and wait for a confirmation email or letter from Oklahoma SoonerCare.
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If further information or documentation is required, respond promptly to the request.
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Once your application is approved, you will receive your Oklahoma SoonerCare enrollment information.
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Start utilizing your Oklahoma SoonerCare benefits for necessary healthcare services.

Who needs state of oklahoma soonercare?

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Low-income individuals and families who are residents of Oklahoma and need affordable healthcare coverage.
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SoonerCare is Oklahoma's Medicaid program that provides health coverage for low-income individuals, families, including children, pregnant women, aged individuals, and those with disabilities.
Individuals and families who meet the income requirements and need health coverage are required to apply for SoonerCare. This includes low-income adults, children, pregnant women, elderly individuals, and those with disabilities.
To fill out an application for SoonerCare, individuals can visit the Oklahoma Department of Human Services website, access the online application, or obtain a paper application at local DHS offices, and provide necessary personal information, income details, and household composition.
The purpose of SoonerCare is to provide affordable health care coverage to eligible low-income residents of Oklahoma, ensuring access to necessary medical services, preventive care, and promoting overall community health.
Applicants must report personal information such as name, address, income, family size, and other details relevant to determining eligibility for the program.
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