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State of Oklahoma SoonerCare Camcevi () Prior Authorization Form Member Name:___ Date of Birth:___ Member ID#:___Drug Information Physician billing (HCPCS code:___) Pharmacy billing (NDC:___)Start
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01
Gather all necessary information such as personal identification, income documents, and medical history.
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Visit the official Oklahoma Soonercare website or contact their office to obtain an application form.
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Fill out the application form accurately and completely, making sure to provide all requested information.
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Attach any necessary documents to support your application, such as proof of income or residency.
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Submit the completed application either online, by mail, or in person at the designated office.
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Wait for a response from Soonercare regarding the status of your application and follow any additional instructions given.

Who needs state of oklahoma soonercare?

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Low-income individuals and families who meet the eligibility requirements for health coverage.
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Individuals with disabilities or special health care needs.
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Senior citizens who require assistance with medical expenses.
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SoonerCare is Oklahoma's Medicaid program that provides health care coverage for eligible low-income individuals, families, and children.
Individuals and families who meet the eligibility criteria based on income and family size are required to file for SoonerCare.
To fill out the SoonerCare application, you can complete it online through the Oklahoma Health Care Authority's website, or you can request a paper application and submit it by mail.
The purpose of SoonerCare is to provide affordable health care access to individuals and families who are low-income, ensuring they receive necessary medical services.
Applicants must report personal information including income, household size, Social Security numbers, and information about any other health coverage.
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