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SoonerCare Fee Schedules

The schedules listed below are the SoonerCare (Oklahoma Medicaid) maximum allowable fees which are in effect as of the date of the report.

Fee Schedules

2021

Schedule Type

Downloadable Format

ASC & APC 01/01/21 ASC - Excel
APC - Excel
ASC - Text File
APC - Text File
Dental Fee Schedule 1/1/2021
Excel PDF
Insure Oklahoma Fee Schedules
Insure Oklahoma Fee Schedule 01/01/21 N/A N/A

2020

Schedule Type

Downloadable Format

Title XIX 07/01/20 Excel Text File
Title XIX 01/01/20 Excel Text File
ASC & APC 01/01/20 ASC - Excel
APC - Excel
ASC - Text File
APC - Text File
Dental fee schedule 01/01/20 Excel PDF
Durable Medical Equipment 08/01/20 Excel
Insure Oklahoma Fee Schedules
Insure Oklahoma Fee Schedule 07/01/20 Excel Text
Insure Oklahoma Fee Schedule 01/01/20 Excel Text

2019

 

Schedule Type

Downloadable Format

Title XIX 10/01/19     Excel   Text File
Title XIX 07/01/19 Excel Text File
Title XIX 01/01/19 Excel    Text File
ASC & APC 10/10/19 ASC - Excel
APC - Excel  
ASC - Text File
APC - Text File  
ASC & APC 01/01/19 Excel ASC - Text File
APC - Text File
Dental fee schedule 10/01/19 Excel PDF
Dental fee schedule 01/01/19 Excel PDF
Insure Oklahoma Fee Schedules
Insure Oklahoma Fee Schedule 07/01/19 Excel Text
Insure Oklahoma Fee Schedule 01/01/19 Excel    Text

2018

 

Schedule Type

Downloadable Format

Title XIX 10/01/18 Excel Text File
Title XIX 07/01/18 Excel Text File
Title XIX 01/01/18 Excel Text File
ASC & APC 10/01/18 Excel ASC - Text File 
APC - Text File  
ASC & APC 01/01/18 Excel ASC - Text File 
APC - Text File  
Dental fee schedule 10/01/18 Excel PDF
Dental fee schedule 01/01/18 Excel PDF
Insure Oklahoma Fee Schedules
Insure Oklahoma Fee Schedule 07/01/18 Excel Text
Insure Oklahoma Fee Schedule 01/01/18 Excel Text
Dental fee schedule 01/01/18 Excel PDF

2017

Schedule Type

Downloadable Format

Title XIX 07/01/17 Excel Text File
Title XIX 01/01/17 Excel    Text File
ASC & APC 01/01/17 Excel ASC - Text File 
APC - Text File  
Insure Oklahoma Fee Schedules
Insure Oklahoma Fee Schedule 07/01/17 Excel Text

2016

 

Schedule Type

Downloadable Format

Title XIX 10/01/16 Excel Text File
Title XIX 07/01/16 Excel Text File
Title XIX 01/01/16 Excel   Text File  
ASC & APC 01/01/16 
Excel 

ASC - Text File 
APC - Text File
Dental fee schedule 07/01/16 Excel PDF
Dental fee schedule 01/01/16  Excel  PDF 
Insure Oklahoma Fee Schedules
Dental fee schedule 08/01/16 Excel    PDF

2015

 

Schedule Type

Downloadable Format

Title XIX 07/01/15 Excel Text File
Title XIX 01/01/15 Excel  Text File
ASC & APC 01/01/15 Excel
ASC - Text File 
APC - Text File 
Dental fee schedule 07/01/15  Excel  PDF  
Durable Medical Equipment 10/15/20 Excel
Insure Oklahoma Fee Schedules
Dental fee schedule 09/01/15 Excel  PDF 
Dental fee schedule 01/01/15 Excel PDF  

2014

 

Schedule Type

Downloadable Format

ACA Primary Care Fee Schedule 01/01/2014 Excel Text File   
Title XIX 07/01/14     Excel Text File    
Title XIX 01/01/14 Excel Text File
ASC & APC 07/01/14 Excel   ASC - Text File 
APC - Text File  
ASC & APC 01/01/14 Excel ASC - Text File 
APC - Text File
Dental fee schedule 07/01/14 Excel PDF 
Insure Oklahoma Fee Schedules
Dental fee schedule 01/01/14 Excel PDF

2013

 

Schedule Type

Downloadable Format

ACA Primary Care Fee Schedule 07/01/2013 Excel Text File
ACA Primary Care Fee Schedule 01/01/2013 Excel Text File
Title XIX 07/01/13 Excel Text File
Title XIX 04/01/13 Excel Text File
Title XIX 01/01/13 Excel Text File
ASC & APC 01/01/13  Excel

ASC - Text File
APC - Text File

Dental fee schedule 07/01/13 Excel PDF
Dental fee schedule 01/01/13 Excel PDF
Insure Oklahoma Fee Schedules
Dental fee schedule 01/01/13 Excel PDF  

2012

 

Schedule Type

Downloadable Format

Title XIX 07/01/12 Excel Text File
Title XIX 01/01/12 Excel Text File
ASC & APC 01/01/12 Excel ASC - Text File
APC - Text File
Dental fee schedule 07/01/12 Excel PDF
Insure Oklahoma Fee Schedules
Dental fee schedule 11/01/12 Excel PDF

2011

 

Schedule Type

Downloadable Format

Title XIX 07/01/11 Excel Text File
Title XIX 01/01/11 Excel Text File
ASC & APC 01/01/11 Excel

ASC - Text File
APC - Text File

Dental fee schedule 01/01/11 Excel PDF
Insure Oklahoma Fee Schedules
Dental fee schedule 01/01/11 Excel PDF

2010

 

Schedule Type

Downloadable Format

Title XIX 07/01/10 Excel Text File
Title XIX 04/01/10 Excel Text File
Title XIX 01/01/10 Excel Text File
ASC & APC 07/01/10 Excel ASC - Text File 
APC - Text File
ASC & APC 04/01/10
Excel ASC - Text File 
APC - Text File
ASC & APC 01/01/10 Excel ASC - Text File 
APC - Text File
Dental fee schedule 07/01/10 Excel

PDF

Dental fee schedule 05/01/10  Excel PDF
Dental fee schedule 04/01/10

Excel

PDF
Dental fee schedule 01/01/10

Excel

PDF  
Insure Oklahoma Fee Schedules
Dental fee schedule 10/01/10 Excel PDF

2009

 

Schedule Type

Downloadable Format

Title XIX 07/01/09 Excel Text File

Title XIX 01/01/09

Excel Text Fil
Dental fee schedule 07/01/09

Excel

PDF

2008

Schedule Type

Downloadable Format

Title XIX 07/01/08

Excel Text File

Title XIX 02/01/08

Excel

Text File

Title XIX 01/01/08 Excel Text File

ASC & APC 01/01/08

Excel

ASC - Text file
APC - Text file

2007

 

Schedule Type

Downloadable Format

Title XIX 09/01/07

Excel

Text file

Title XIX 07/01/07

Excel

Text file

Title XIX 01/01/07

Excel

Text file

ASC & APC 07/07/07

Excel

ASC - Text file
APC - Text file

ASC & APC 01/01/07

Excel

ASC - Text file
APC - Text file

Dental fee schedule 01/01/07

Excel

PDF

2006

 

Schedule Type

Downloadable Format

Title XIX 07/01/09 Excel Text File

Title XIX 01/01/09

Excel Text File

Title XIX 07/01/06

Excel

PDF

Title XIX 01/01/06

Excel

Text file

ASC & APC 07/01/06

Excel

ASC - PDF
APC - PDF

ASC & APC 01/01/06

Excel

Text file

Dental fee schedule 08/06/06

Excel

PDF

2005

Schedule Type

Downloadable Format

Title XIX 08/01/05

Excel

Text file

Title XIX 01/21/05

Excel

Text file

ASC & APC 10/01/05

Excel

Text file


Important Disclaimers:

  • Services reimbursed based on provider specific (contracted rates) or specialty based rates are not included under Title XIX. To inquire about other rates, please call our Customer Service provider line.
  • The fee schedules do not address the various coverage limitations routinely applied by Oklahoma Medicaid before final payment is determined (e.g., recipient and provider eligibility, billing instructions, frequency of services, third party liability, copayment, age restrictions, prior authorization, etc.)
  • Although every effort is made to keep the schedule accurate and current, it is not the official document of record. If you are a current Medicaid provider, you may refer to the Pricing section on our Provider Secure Site, or call our Customer Service provider line.

contact us

Provider Services
(405) 522-6205
(800) 522-0114

more contacts »

Last Modified on Jan 14, 2021