Forms and Resources

FORMS

Agent of Record Form
Cover Sheet
Open Records Request Form

RESOURCES

Accredited Colleges
Agent/Employer Blasts
Income Fact Sheet (MAGI)
Income Guidelines
Insure Oklahoma Rules
ESI Payment Schedule (2022)
ESI Payment Schedule (2023)
MAGI Household Composition
Professional Employer Organizations
Qualified Benefit Plans

Last Modified on Nov 16, 2022

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

Public Notices
Nondiscrimination Notice
Language Assistance
Employee E-Mail Access
Legal Notices
Report Suspected Medicaid Fraud

The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.