High-risk OB policy change proposed

Posted on: 7/19/19


The Oklahoma Health Care Authority (OHCA) is proposing a rule change to improve access to care for obstetrical-related SoonerCare services in rural Oklahoma.

Pregnant SoonerCare members deemed high risk may, with medical necessity and prior authorization, receive follow-up ultrasounds and up to five fetal non-stress tests and biophysical profiles. Under current OHCA rules, documentation of medical necessity for these services must be provided by a board eligible/board certified maternal fetal medicine (MFM) specialist or a board eligible/board certified obstetrician-gynecologist (OB-GYN).

The proposed rule would also accept documentation provided by a board eligible/board certified family practice physician who has completed an Accreditation Council for Graduate Medical Education (ACGME) approved residency. The medical residency program must include appropriate obstetric training and the physician must be credentialed by the hospital at which they provide obstetrical services in order to perform such services.

The proposed rule, identified as APA WF# 19-12, will be posted for public comment on OHCA’s Policy Blog web 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.