American Indians may choose services from Indian Health Service, tribal and Urban Indian Health programs.
Breast and Cervical Cancer Treatment Program (Oklahoma Cares) provides SoonerCare benefits to uninsured women under 65, who need treatment for breast or cervical cancer (including pre-cancerous conditions and early stage cancer).
Child Health, also known as Early and Periodic Screening, Diagnosis and Treatment (EPSDT), is a preventive health care package for children age 20 or younger enrolled in Oklahoma Medicaid.
Diabetes Prevention Program (DPP) begins in 2023.
Diabetes Self-Management Education and Support (DSMES) services help people with diabetes learn how to take the best care of themselves.
Disability/Incapacity Determination is made by the Level of Care Evaluation Unit which serves disability and incapacity for the citizens of Oklahoma and ensure their health care needs are met.
Health Management Program is an innovative and comprehensive approach to chronic disease management.
Long-Term Care Services is a system of health care providing long-term care and support in home and community-based settings, in nursing homes, in small and large residential care facilities or group homes, and in the workplace. This includes Living Choice, PACE, Focus On Excellence, Oklahoma Long-Term Care Partnership, Certified Nurse Aide Training program and more.
Mental Health and Substance Abuse Services are offered to all members for services to help with mental health issues like depression or anxiety, or to help with alcohol or other substance use disorders.
Pre-Admission Screening and Resident Review assures that residents living in nursing facilities with mental illness, intellectual disabilities or related conditions are in the appropriate level of care and are receiving the services to meet their needs.
Pregnancy Services are services designed to ensure that every qualified pregnant woman has access to medical care, with the goal of lowering Oklahoma’s infant mortality rate and improving maternal and infant health.
Soon-to-be-Sooners is a program that provides services to qualified unborn children to support healthy pregnancy and birth.
SoonerCare Choice is a Primary Care Case Management (PCCM) program in which each member has a medical home. The medical home provider will coordinate all health care services to qualifying Oklahomans. Please visit our Qualification Guidelines page to find out if you qualify.
SoonerCare Supplemental is a plan that pays the coinsurance and deductible and provides medical benefits that supplement those services covered by Medicare.
SoonerCare Traditional is a comprehensive medical benefit plan that purchases benefits for members as they receive a service. SoonerCare Traditional provides coverage for members who qualify for Medicaid and are institutionalized, in state or tribal custody or enrolled under a Home and Community-Based Waiver. The member accesses services from contracted providers, and the OHCA pays the provider on a fee-for-service basis.
SoonerQuit was developed through a grant with the Oklahoma Tobacco Settlement Endowment Trust (TSET) and focuses on promoting and increasing access to tobacco cessation benefits and the Oklahoma Tobacco Helpline.
SoonerPlan is a benefit plan covering limited services related to family planning, to women and men ages 19 and older, in an effort to reduce unwanted pregnancies.
TEFRA (Tax Equity and Fiscal Responsibility Act of 1982), Care for Children with Disabilities allows members under age 19 with special health care needs or disabilities to be cared for at home instead of in an institution.
SoonerRide provides free non-emergency transportation to and from SoonerCare covered appointments.