SoonerCare payment rates will change Jan. 1

Posted on: 12/20/17


The Oklahoma Health Care Authority (OHCA) will implement updated inpatient hospital payments for diagnosis related groups (DRGs) effective Jan. 1, 2018. This annual, revenue neutral process of re-basing and re-weighting DRG payments was delayed from Oct. 1.  

Along with the annual rebasing, OHCA will implement the current Medicare DRG Grouper (MS-DRG V35) this week, effective for discharges on or after Oct. 1, 2017.

OHCA provided more information on these changes in Provider Reimbursement Notice (PRN) 2017-09, on Dec. 19. The Notice also included:
  • The 2018 SHOPP assessment rate will be 3 percent of net hospital patient revenue.  OHCA mailed annual assessment notices to SHOPP hospitals on Dec. 14.
  • Rebased Ambulatory Payment Classification (APC) and Ambulatory Surgery Center (ASC) rates, effective Jan. 1, 2018, will be posted here.
  • The Disproportionate Share Hospital (DSH) audit report for 2014, conducted in 2017, will be posted here. The report identified some DSH overpayments that will be recouped from certain hospitals. 2013 and 2014 DSH recoupments will be reallocated to other DSH hospitals.
PRN 2017-09 is posted here.  (Rick Snyder)

Save the dates for OHA 2022 events

Posted on: 2/18/22


It’s a new year and a new lineup of important events for you and your staff. Don’t miss out on these opportunities to engage in advocacy, education and networking all year long. Mark your calendar now!

OHA Advocacy Day - Tuesday, April 5, Oklahoma History Center. Join us for our annual legislative day. We will begin with a member briefing at 3 p.m., followed by a legislative reception at 5 p.m. Watch for registration materials soon.

OHA-PAC Golf Tournament - Tuesday, June 21, Jimmie Austin Golf Club at OU, Norman. Time and details TBA.

OHA Health Care Leaders Forum - Tuesday, July 19 - Thursday, July 21, Shangri-La Resort, Grand Lake. Watch for registration soon!

OHA Connect 22 - Wednesday, Nov. 9 - Friday, Nov. 11, Oklahoma City Convention Center and Omni Hotel, downtown Oklahoma City. Plan now to attend OHA’s annual conference and exhibit hall. More details to come.

Details on these events and other upcoming education opportunities will be available on the OHA website.