Maternity coverage expanded for Soon-to-be-Sooners program

Posted on: 10/11/19


Outpatient observation services are now reimbursable for Oklahoma’s Soon-to-be-Sooners (SBTS) program.

STBS is a limited benefit plan providing pregnancy-related medical services to women who do not qualify for Medicaid benefits due to their immigration status.

The Oklahoma Health Care Authority (OHCA) will begin allowing payment for hospital revenue codes 0761 (treatment room) and 0762 (observation room) for STBS mothers, subject to medical review. OHCA pays for observation services under limited circumstances, including a requirement for at least eight hours of observation.

In a Global Message dated Oct. 9, 2019, OHCA noted: “Providers may resubmit previously denied claims for review for any dates of service July 1, 2019 and after. If any lines on the claim were paid, the claim should be voided prior to resubmission. Please see policy 317:30-5-42.11 for observation/treatment requirements.” (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.