SoonerCare rule changes proposed

Posted on: 12/19/18


The Oklahoma Health Care Authority (OHCA) posted a set of proposed rules for the SoonerCare (Medicaid) program on Dec. 17. Comments are invited on these proposals through Jan. 16, 2019.

APA WF# 18-06 would establish a prior authorization requirement for inpatient psychiatric services for adults. Revisions will also align the time requirement of the first individual treatment by the physician to the requirement of completion of the psychiatric evaluation. Some language cleanup is also included.

APA WF# 18-10 would amend the Oklahoma EHR Incentive Program policy by changing policy regarding the required SoonerCare patient volume criteria and about documentation to support or correct the provider’s EHR attestation.

The comment period is closed now for APA WF # 18-08, which proposed to terminate eligibility of members when mail is returned with address unknown. This proposal was said to expedite compliance with the Act to Restore Hope, Opportunity and Prosperity to Everyone (HOPE Act), House Bill 1270 in 2018, which requires OHCA to contract with one or more independent vendors to verify member eligibility.

These and other current rule proposals are found under the “Policy Change Blog” at the bottom of the page.  (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.