Therapy - Occupational/Physical/Speech

Required Forms for All Therapy

HCA-61
SC-15 English | Spanish - Parental Consent Form or provider-generated Parental Consent Form (if utilizing a provider generated form it must include all information contained on the SC-15 form)
SC-16 English | Spanish - Change of Provider Form (if applicable)

Guidelines for Speech Services

Guidelines for Occupational and Physical Therapy Services

In an effort to expedite prior authorizations for initial post-operative and acute injuries, we allow the use of an SC modifier for Occupational and Physical Therapy requests. Please see Provider Letter 2012-09 for Guidance on the appropriate use of this modifier

OT and PT

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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.