Skip to main content

This website is not compatible with Internet Explorer. Experiencing Difficulties? Please try a different browser.

Public Health Emergency (PHE)

You could be at risk of losing SoonerCare for you and your family if you do not update your information before the PHE ends.

Below are the most frequently asked questions about the PHE. Please review the answers before calling the SoonerCare helpline. If you do not see the answer to your question, call the helpline at 800-987-7767.

If you are a community partner, please download the PHE Unwinding Communications Toolkit to help us communicate to our members.

Frequently Asked Questions

At the beginning of the COVID-19 pandemic, the federal government declared a public health emergency. During the PHE, Medicaid agencies are required to continue health care coverage for members, even if their eligibility changes.

During the PHE, the Oklahoma Health Care Authority (OHCA) will not end SoonerCare coverage for members who fail to update their account information or do not submit required paperwork. This means members can continue being covered by SoonerCare during the PHE, even if they no longer qualify.

Federal Health and Human Services (HHS) Secretary Xavier Becerra announced July 15, 2022 the Public Health Emergency’s continuous coverage created in 2020 for certain Medicaid members is once again extended. The extension allows certain Oklahomans on Medicaid, who have become ineligible to maintain their health coverage over the next 90 days.

OHCA will alert affected members once Secretary Becerra announces the end of the PHE. Those members determined to be eligible will continue to receive SoonerCare benefits.

Those members determined to be ineligible for benefits will be removed from SoonerCare in phases throughout the year using a compassionate risk-based approach, focusing on member utilization and critical health issues.

If your account information is not current, your SoonerCare coverage may end when the PHE ends.

Members who are ineligible will receive three notices from OHCA across multiple communications channels.

  • An initial notification letter from OHCA will be mailed once the end date of the PHE is announced. This notification letter will detail the specific end date of benefits for each member.
  • A second notice will be sent to those members 45 days prior to their scheduled end date to inform them of the reason for loss of eligibility, potentially missing documents to verify eligibility and appeal rights.
  • A third notice will then go out 10 days before the member loses eligibility.

Taking the steps below now may help you keep your SoonerCare coverage when the PHE ends.  

  • Update your contact information including your address, phone number and email at MySoonerCare.org.
  • Answer all requests for information if you get a letter from SoonerCare or OHCA.
  • Report changes in your household to SoonerCare. This includes if someone becomes pregnant, someone moves in or out of your home, your income changes, or anything else that may affect your SoonerCare.
    • You can report changes by: 
      • Logging into MySoonerCare.org or click here to access the page.
        • To update your log in & password/PIN call the SoonerCare helpline at 800-987-7767 and select:
          • 1 for English or 2 for Spanish
          • 1 for current member
          • 3 for PIN reset
      • Calling the SoonerCare helpline at 800-987-7767.

Members should take time to think about their health care needs and plan in case their SoonerCare coverage ends.

Losing coverage is a Qualifying Life Event (QLE), which allows an individual to enroll in a Federal Health Insurance Marketplace plan outside of the Open Enrollment Period.

Members are encouraged to visit HealthCare.gov or call the Federal Health Insurance Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325).

Members can also send a paper application (English / Spanish) to the federal health insurance marketplace at:

Health Insurance Marketplace
Dept. of Health and Human Services
465 Industrial Blvd.
London, KY 40750-0001

CMS - Health Insurance Marketplace Outreach and Education
HealthCare.gov
HealthCare.gov - Qualify for Special Enrollment Period
MySoonerCare.org
OHCA – Individual Resources
Oklahoma Insurance Department - Insurance Basics
Oklahoma Insurance Department - Health Insurance Basics

2022 Oklahoma Issuers

BCBSOK

  • All 77 counties in Oklahoma

Medica

  • All 77 counties in Oklahoma

Ambetter

  • Mayes
  • Muskogee
  • Okmulgee
  • Payne
  • Rogers
  • Tulsa

Bright Health

  • Canadian
  • Cleveland
  • Grady
  • Lincoln
  • Logan
  • McClain
  • Oklahoma

Community Care of OK (CCOK)

  • Creek
  • Mayes
  • McIntosh
  • Muskogee
  • Nowata
  • Okmulgee
  • Osage
  • Rogers
  • Tulsa
  • Wagoner
  • Washington

Friday Health

  • Canadian
  • Cleveland
  • Oklahoma
  • Okmulgee
  • Osage
  • Rogers
  • Tulsa
  • Wagoner

Oscar Health

  • Canadian
  • Cleveland
  • Logan
  • Oklahoma

United Health Care (UHC)

  • Canadian
  • Cleveland
  • Oklahoma
  • Rogers
  • Tulsa

 

Navigate Low-Cost Insurance

Tulsa Responds navigators can help SoonerCare members, who may lose coverage at the end of the PHE, by helping them enroll in an affordable healthcare plan through the marketplace. These services are available to all Oklahomans via phone appointment. Navigators also offer SoonerCare enrollment assistance and benefit support via phone and in-person staffing at several locations throughout Tulsa. Members can select their desired location to see available appointments at that site. Walk-ins are also welcome at in-person locations.

MyOKPlan has free, local non-profit navigators statewide to assist Oklahomans with healthcare.gov applications to find discounts when enrolling in Marketplace plans. MyOKPlan is sponsored by the non-profit Legal Aid Services of Oklahoma. More than 189,000 Oklahomans use the Federal Health Insurance Marketplace health care plans and 95% of those receive financial assistance to lower costs. Oklahomans must enroll within 60 days of losing coverage.

  • Call or text 405-313-1780
  • Visit MyOKplan.org

Community health centers offer comprehensive primary care to over 300,000 Oklahomans regardless of income or insurance status. Twenty-two community health centers operate 140+ sites, with many providing dental, optometry, behavioral health, and substance use disorder services. Services are provided on a sliding fee scale based on income for patients with incomes below 200% of the federal poverty level. For more information about community health centers, visit www.okpca.org/community-health-centers and contact your local health center.

There are several additional community resources available to Oklahomans that may be helpful for members and their families.

Last Modified on Jul 15, 2022