Public Notices
2024
2023
- 12/30/23 State Plan Personal Care Rate Revision (SPA 24-0004)
- 12/22/23 Hospital-Administered Emergency Opioid Antagonist Reimbursement Public Notice (SPA 24-0005)
- 10/19/23 Payment Enhancements for Recruitment & Retentionof Direct Support Professionals within HCBS Waiver
- 8/25/23 Behavioral Health Acute/Acute II Rate Increases & State Plan Personal Care (SPPC) Rate Revision
- 6/19/2023 Annual Nursing Facility & Intermediate Care Facility Rate Rebasing
- 05/26/2023 Substance Abuse Screening Coverage and Reimbursement in Primary Care Settings
- 05/12/2023 Title XIX American Rescue Plan (ARP) Assurances; Adult Expansion Alternative Benefit Plan (ABP) Benefits & Delivery System Update
- 04/28/2023 Mental Health Transportatation; Non-Payment of Provider Preventable Conditions
- 02/24/2023 Enhanced Payment Program for ICFs/IID; Pharmacist Administered Vaccines; Independent Clinical Psychologist Services; Private Duty Nursing Rate Increase; Doula Services
- 02/03/2023 SoonerSelect 1915(b)(4) Waiver Application
- 01/27/2023 1115(a) SoonerCare Choice Demonstration Waiver Amendment
2022
- 11/18/2022 TXIX Cost-Sharing Updates
- 11/01/2022 1115(a) SoonerCare Choice Demonstration Waiver Renewal
- 09/06/2022 Dental Services Reimbursement Methodology
- 06/09/2022 Nursing Facility Rebasing and Pay-for-Performance Update
- 06/09/2022 Behavioral Health Services Rate Increase
- 04/01/2022 Independently Licensed Clinical Psychologist Services
- 03/01/2022 Adult Expansion Alternative Benefit Plan (ABP) Benefits Update & Alternative Non-Pharmacological Treatments for Pain Management (UPDATED: ABP HOSPICE CARE)
- 02/02/2022 Partial Hospitalization Program (PHP) for Adults
2021
- 12/27/2021 Routine Patient Costs Associated with Qualified Clinical Trials
- 12/27/2021 Adult Expansion Alternative Benefit Plan (ABP) Benefits Update
- 12/15/2021 Ambulance Service Provider Access Payment Program
- 12/15/2021 Adult Expansion Alternative Benefit Plan (ABP) Benefits Update & Alternative Non-Pharmacological Treatments for Pain Management (UPDATED)
- 12/15/2021 Eliminate Community Based Extended (CBE) Levels of Care
- 10/14/2021 Adult Expansion Alternative Benefit Plan (ABP) Benefits Update & Alternative Non-Pharmacological Treatments for Pain Management (UPDATED)
- 09/07/2021 Certified Community Behavioral Health PPS & Intensive Residential SUD Treatment Rate for Adolescents
- 07/22/2021 Adult Expansion Alternative Benefit Plan (ABP) Benefits Update & Alternative Non-Pharmacological Treatments for Pain Management (UPDATED)
- 06/28/2021 Adult Expansion Alternative Benefit Plan (ABP) Updates and Dental Services (UPDATED)
- 06/16/2021 Adult Expansion Alternative Benefit Plan (ABP) Service Delivery System and Dental Services Copayment
- 06/09/2021 Nursing Facility Annual Rebasing of Rates
- 05/05/2021 Medically Fragile Waiver Amendment
- 05/04/2021 Reimbursement of Long-Acting Reversible Contraceptive (LARC) Devices in a Federally Qualified Health Center (FQHC) (UPDATED)
- 03/23/2021 Adult Expansion Alternative Benefit Plan (ABP) Service Delivery System Update (UPDATED)
- 01/04/2021 Enrollment of Certain Medicaid Members under the Demonstration and Implementation of SoonerSelect Managed Care Model
2020
- 12/29/2020 Residential Substance Use Disorder (SUD) Services Reimbursement for Tribal Providers
- 12/28/2020 Rate Revisions for the Specialty, Standard, and Extended Psychiatric Residential Treatment Facilities (PRTFs)
- 10/01/2020 Insure Oklahoma Phase Out Plan and Waiver Amendment
- 09/25/2020 SUPPORT Act Medication-Assisted Treatment (MAT)
- 09/17/2020 Insure Oklahoma Abbreviated Phase Out Plan and Waiver Amendment
- 09/16/2020 Residential Substance Use Disorder (SUD) Services
- 09/01/2020 Therapy Assistants (UPDATED)
- 08/28/2020 Certified Community Behavioral Health (CCBH) Services Reimbursement (UPDATED)
- 07/31/2020 Medicaid Adult Expansion
- 07/10/2020 Durable Medical Equipment, Supplies, and Appliances Reimbursement Methodology (UPDATED)
- 06/15/2020 Nursing Facility Rate Increases and Pay-for-Performance (PFP) Quality Metric Update
- 05/01/2020 1115(a) Institution for Mental Disease (IMD) Waiver for Serious Mental Illness (SMI) and Substance Use Disorder (SUD)
- 03/31/2020 Adding the Newly Eligible Adult Group to Patient Centered Medical Homes (PCMH) and Increasing Care Coordination Rate for PCMH American Indian/Alaskan Native Providers (1115 Waiver Amendment)
- 03/19/2020 Healthy Adult Opportunity (HAO) Demonstration Waiver (SoonerCare 2.0) (UPDATED)
- 03/04/2020 High-Investment Drugs
- 02/21/2020 SoonerCare Coverage for Newly Eligible Adults
2019
- 11/08/2019 Diabetes Self-Management Training (DSMT) Services
- 09/24/2019 Disproportionate Share Hospitals
- 09/17/2019 Provider Rate Increase, Nursing Facility Rate Increase, and Nursing Facility Pay-for-Performance Program
- 08/29/2019 Inpatient Psychiatric Add-on Specialty and Intensive Treatment Family Care (ITFC)
- 07/24/2019 Out-of-State Services
- 06/28/2019 Payment to State-owned Psychiatric Residential Treatment Facilities (PRTFs)
- 06/26/2019Nursing Facility Rebasing; Applied Behavioral Analysis (ABA) Services and Reimbursement; Therapeutic Foster Care (TFC) Rate Increase; Developmental Disabilities Services (DDS) and ADvantage Waiver/State Plan Personal Care Services Rate Increases
- 05/15/2019 Rural Health Clinics Reimbursement, Enhanced Payment for State University Employed or Contracted Physicians, Maternal Depression Screenings, Residential Behavior Management Services (RBMS) Rates
- 03/27/2019 Partial Hospitalization Program (PHP) Services, Certified Community Behavioral Health Clinic (CCBHC)Services, and Deductible and Coinsurance for Crossover Claims (UPDATED)
- 03/07/2019 Partial Hospitalization Program (PHP) Services, Certified Community Behavioral Health Clinic (CCBHC) Services, and Deductible and Coinsurance for Crossover Claims
- 03/07/2019 Health Access Network (HAN) 1115(a) Demonstration Waiver Amendment
2018
- 12/21/2018 Supplemental Hospital Offset Payment Program Cost-to-Charge Ratio Calculation Update for Critical Access Hospitals
- 10/01/2018 1115(a) Demonstration Health Management Program Waiver Amendment
- 09/07/2018 Provider Rate Increases, LTC Facilities Rate Increases, and Miller Trust
- 09/07/2018 Supplemental Reimbursement for Ground Ambulance Transportation Providers
- 09/06/2018 State Plan Skilled Nursing Rate Increase
- 07/03/2018 1115(a) SoonerCare Choice Community Engagement Requirements Waiver Amendment
- 06/28/2018 Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) Licensed Behavioral Health Practitioner and Licensure Candidate in an Outpatient Behavioral Health Clinic Rate Increase
- 06/15/2018 Vaccine Rate Methodology, Nursing Facilities Rate Changes, Department of Mental Health & Substance Abuse Services (ODMHSAS) Rate Increases, & Oklahoma Department of Human Services (DHS) Rate Increases
- 04/11/2018 Nursing Facilities Supplemental Payment Program
2017
- 12/27/2017 Nursing Facilities Supplemental Payment Program and Outpatient Hospital Dental and ENT Rates
- 09/07/2017 Private Duty Nursing Rate Change
- 06/26/2017 Long-term Care Facilities Rebasing & Miller Trust
- 02/07/2017 Nursing Facilities Supplemental Payment Program
- 01/05/2017 Insure Oklahoma Waiting Period for Dependent Children with Creditable Coverage and Language Update; Incontinence Supplies Sole Source 1915(b)(4) Waiver Request; Over-the-Counter Products Update; & Public Assistance Reporting Information System (PARIS)
2016
- 12/30/2016 Supplemental Drug Rebate & Investigational Drugs
- 12/23/2016 Statewide Transition Plan
- 12/02/2016 Nursing Facilities Supplemental Payment Program
- 11/02/2016 Pharmacy Covered Outpatient Drugs
- 09/19/2016 Supplemental Hospital Offset Payment Program; DRG Relative Weights
- 07/21/2016 Reversal of Three Percent Cut for Certain OHCA Provider/Services, Rate Revision for Behavioral Health Assessments performed in Outpatient Behavioral Health Agencies
- 06/17/2016 Quality of Care Fee Increases for Long-Term Care Facilities, Miller Trust Monthly Income Eligibility Requirements, Unbundling of OB services methodology change and Eyeglass Materials Payment Methodology Change
