- The person who helps you with medical care must have a contract with SoonerCare.
- This includes specialist care, where you get medication, and any health care needs.
- Ask if they are seeing SoonerCare patients.
- A referral to get care is not needed for some medical care, however, it may be asked for so you can be seen.
- Call the SoonerCare helpline if you need help.
Find a Provider
OHCA’s SoonerCare Provider Directory is a listing of all contracted providers.
All downloadable PDFs are no longer available. Please use the new Provider Directory to search for contracted providers. The new application will allow you to search by plan, provider name, facility, specialty, state and city.
Click here to watch a Provider Directory instructional video.
Disclaimer: The list of providers does not guarantee appointments as provider offices may have an age restriction or may not be seeing SoonerCare members at this time.
Seeking Care
It is important that you see a provider who is contracted and in network with SoonerCare or SoonerSelect. Seeing a provider who is not in your plan's network could cause you to have a bill that wouldn't be covered.
This is called out of network. In most cases, payments for out-of-network services are not covered by SoonerCare or SoonerSelect. Be sure to follow the rules for the plan you are enrolled in.
If you have questions about SoonerCare providers, call the SoonerCare helpline at 800-987-7767. If you have questions about SoonerSelect providers, call your plan for help.
Looking for who can give you care? Find a provider.
Here are some important details on how to select a provider by the program you have with SoonerCare:
- Choice medical care providers must be a Choice primary care provider (PCP). The PCP will be part of your health team and will help with medical care.
- This includes specialist care, where you get medication, and any health care needs.
- Specialists (except for mental health) may want a referral from the Choice PCP.
- Ask if they are seeing SoonerCare patients.
- Call the SoonerCare helpline if you need help selecting a Choice PCP or have questions.
- If you are an American Indian, you may select Indian Health Service, tribal or urban Indian (I/T/U) health clinics for your primary care provider (PCP). If you do not enroll with an I/T/U clinic, you may still receive your health care services there.
- Choice PCPs must be with SoonerCare Choice.
- This includes specialist care, where you get medication, and any health care needs. Specialists (except for mental health) may want a referral from the Choice PCP.
- Ask if they are seeing SoonerCare patients.
- Call the SoonerCare helpline if you need help selecting a Choice PCP or have questions.
- Dental care providers must be contracted with SoonerCare. This includes dental specialists.
- Ask the dentist if they are seeing SoonerCare patients.
- You will need a dental referral to get dental specialty care.
- Call the SoonerCare helpline if you need help finding a dental provider.
- Mental health providers, clinics and programs must be contracted with SoonerCare.
- Ask if they are seeing SoonerCare members.
- For questions about mental health care or a provider, call the SoonerCare helpline.
- A referral is not needed for most mental health care.
- The dental or health provider you choose must be contracted with your plan.
- This includes specialty care, medicines you need, and any other care you need.
- When making an appointment, ask the provider if they are seeing SoonerSelect members.
- If you have an open authorization with OHCA, you have the first 90 days to use it.
- Always call the plan’s member services for help.
DENTAL
- When you opt-in to SoonerSelect dental, then you can choose your plan.
- If you choose not to opt in, your dental care will remain the same under SoonerCare.
- If you opt in, your dental care provider must be contracted with SoonerSelect.
- This includes specialty care and dentures.
- Ask your dental provider if they are seeing members in your SoonerSelect plan.
- If you have questions, call the dental plan for help.
HEALTH
- When you opt-in to SoonerSelect health, then you can choose your plan.
- If you choose not to opt in, your health care will remain the same under SoonerCare.
- If you opt in, your health care provider must be contracted with SoonerSelect.
- This includes specialist care, where you get medication, and any health care needs.
- Ask your health care provider if they are seeing members in your SoonerSelect plan.
- If you have questions, call the health plan for help.
- Seeking Care Guide
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Health Plan Provider Directories:
• Aetna
• Humana
• Oklahoma Complete Health
SoonerCare Helpline
• 800-987-7767
• 800-522-0114
• 800-757-5979 TTY
Care Management
• 405-522-7188
• 877-252-6002 TTY
Pharmacy Help Desk
• 800-522-0310
• 800-522-0114
• 405-522-7179 TTY
Behavioral Health
• 800-652-2010 Toll Free
Nursing Facility Quality Improvement
• Focus on Excellence
Jennifer Wynn
405-522-7306
SoonerRide -
Non-emergency transportation
• 877-404-4500