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Provider Reimbursement Notices

For further assistance with reimbursement, contact us at ReimbComments@okhca.org.  

 Letter #

Issue Date

Subject

Eff. Date

2021-09 10/7/2021 Hospital DRG for Split Eligible Expansion Members  
2021-08 10/7/2021 Hospital DRG Rebase  
2021-07 7/1/2021 Annual FQHC and RHC Rate Update  
2021-06 7/1/2021 Annual ESRD rate update  
2021-05 5/5/2021 CY2021 Supplemental Hospital Offset Payment Program (SHOPP) Update  
2021-04 4/2/2021 Hospital Possibly Preventable Readmissions  
2021-03 2/1/2021 SHOPP Update
 
2021-02 1/27/2021 Hospital DRG Recycle  
2021-01 1/20/2021 CY 2021 Hospice Rate Update  
2020-12 12/29/2020 CY2021 Supplemental Hospital Offset Payment Program (SHOPP) Info  
2020-11 12/14/2020 Outpatient Hospital Infusion of Remdesivir 12/14/2020
2020-10 12/8/2020 Hospital DRG Rebase UPDATE  
2020-09 10/1/2020 Hospital DRG Rebase  
2020-08 9/28/2020 FQHC Same Day Encounters  
2020-07   7/1/2020 Annual FQHC and RHC Rate Update 7/1/2020
2020-06   7/1/2020 ESRD Rate Update 7/1/2020
2020-05   5/11/2020      Hospital Potentially Preventable Readmissions (PPR)
2020-04 4/14/2020 Disproportionate Share Hospital (DSH) Update
2020-03 3/27/2020 Supplemental Hospital Offset Payment Program (SHOPP) Update 1/1/2020
2020-02 3/27/2020 Telehealth at an FQHC or RHC
2020-01 1/31/2020 Annual Hospice Rate Update 1/1/2020
2019-10 10/24/2019 Hospital DRG Update 10/1/2019
2019-09 10/10/2019 Rural Health Clinic (RHC) Rate Update 7/1/2019
2019-08 10/3/2019 ESRD Rate Update 10/1/2019
2019-07 10/3/2019 Hospital DRG and Other Updates 10/1/2019
2019-06 8/30/2019 APC and ASC Rate Correction 8/30/2019
2019-05 7/15/2019 Annual ESRD Rate Update 7/1/2019
2019-04 7/3/2019 Annual FQHC and RHC Rate Update 7/1/2019
2019-03 6/26/2019 Annual Medicare Cost Report Submission
2019-02 4/30/2019 Hospital Potentially Preventable Readmissions      4/30/2019
2019-01 4/15/2019 Hospital DRG Update 4/15/2019
2018-03 10/3/2018 Hospital DRG and Other Updates 10/1/2018
2018-02 4/17/2018 Hospital PPR Program Update
2018-01 1/11/2018 SHOPP Update
2017-12 12/19/2017 Private Duty Nursing Rate Update 10/1/2017
2017-10 1/2/2018 ESRD Rate Update 1/1/2018
2017-11   12/19/2017 Annual Hospice Rate Update 1/1/2018
2017-09 12/19/2017 Hospital DRG and Other Updates      1/1/2018
2017-08 10/25/2017
Hospital DRG Release Update
2017-07 7/1/2017 Annual ESRD Rate Update 7/1/2017
2017-06 7/1/2017 Annual FQHC and RHC Rate Update
7/1/2017
2017-05 4/25/2017 Hospital PPR Program Update
2017-04 4/19/2017 Outpatient Hospital Claims Processing Update 1/1/2017
2017-03   1/6/2017 Hospital DGR Rebase Update      1/1/2017
2017-02   1/3/2017 Hospital Update
1/1/2017
2017-01 1/3/2017 Annual Hospice Rate Update 1/1/2017
2016-06 10/20/2016 Hospital DRG Rebase
2016-05   6/23/2016  Annual ESRD Rate Update 7/1/2016
2016-04 6/23/2016 Annual FQHC and RHC Rate Update
7/1/2016
2016-03
5/17/2016
Hospice Payment Change
2016-02
4/18/2016
Hospital PPR Program Update
2016-01
4/15/2016
SHOPP Update
2015-16
12/29/2015
ESRD Rate Update
1/1/2016
2015-15
12/29/2015
Hospital Update
1/1/2016
2015-14
11/16/2015
Hospital DRG Neonate Correction
10/1/2015
2015-13
10/7/2015
CY 2015 SHOPP Revision
10/1/2015
2015-12
10/6/2015
Annual FQHC Rate Update
7/1/2015
2015-11
9/30/2015
Annual ESRD Rate Update
7/1/2015
2015-10
9/28/2015
Hospital Updates - LARC
2015-09
9/8/2015
DRG Hospital Update
10/1/2015
2015-08 7/21/2015     Payment for Hospital Outpatient Services 7/1/2015
2015-07 7/20/2015 Hospital DRG Changes     7/1/2015
2015-06 6/22/2015 Annual FQHC and RHC Rate Update 7/1/2015
2015-05 6/22/2015 Annual ESRD Rate Update 7/1/2015
2015-04   6/18/2015 Disproportionate Share Hospital (DSH) Payments
2015-03 6/4/2015 ESRD Update
2015-02 6/4/2015 Hospital PPR Update 1/1/2015
2015-01 6/4/2015 FQHC Change 4/1/2015
2014-07 8/13/2014 Annual FQHC and RHC Rate Update 7/1/2014
2014-06 7/17/2014 Hospital Updates 7/1/2014
2014-05 7/14/2014 SHOPP CY2014 7/1/2014
2014-04 6/2/2014 RHC Notice 6/10/2014
2014-03 3/24/2014 ESRD Rate Update 3/26/2014
2014-02 2/26/2014 FQHC Dental Claims with TPL
2014-01 1/28/2014 DRG & ICD 10                                                           
2013-16 12/19/2013 SHOPP CY2013 Revision 12/26/2013
2013-15 11/15/2013 Nursing Home Focus on Excellence Letter 1/1/2014
2013-14 11/7/2013 Hospital Presumptive Eligibility Survey  1/1/2014
2013-13 10/4/2013 FQHC Claims with TPL   
2013-12 9/30/2013 Hospital Presumptive Eligibility  1/1/2014
2013-11 7/16/2013 SHOPP Payment Change 7/1/2013 
2013-10 Split Elig DRG Adjustment
2013-09 6/27/2013 Annual ESRD Rate Update 7/1/2013
2013-08 6/27/2013 Annual Hospice Rate Update 7/1/2013
2013-07 6/27/2013 Annual FQHC & RHC Rate Update 7/1/2013
2013-06 6/19/2013 Outpatient Labor & Delivery Observation
2013-05 6/12/2013 SHOPP CY2011 Revision 6/19/2013
2013-04 5/17/2013 FFY2012 Disproportionate Share Hospital (DHS) Audit Process
2013-03 5/23/2013 FQHC FP Billing 7/1/2013
2013-02 1/31/2013 OHCA Call Center Vendor & Call Center Questions 4/1/2013
2013-01 1/9/2013 Hospital Updates 1/1/2013
2012-09 10/28/2012 FFY13 Disproportionate Share Hospital (DSH) Calculation Clarification
2012-08   10/30/2012 DRG Rebase & DRG Claims Correction
2012-07 10/23/2012 SHOPP CY2012 Revision 10/1/2012
2012-06 6/18/2012 FQHC & RHC Rate Update 7/1/2012
2012-05 5/24/2012 DSH Update
2012-04 5/24/2012 EHR Payment Calculation and Adjustments
2012-03 5/24/2012 ESRD Update and Guidance 7/1/2012
2012-02 5/24/2012 Inpatient From and Thu Dates 7/1/2012
2012-01 2/24/2012 SHOPP Updates                                  7/1/2011
2011-05 6/28/2011 Annual FQHC and RHC rate update 7/1/2011
2011-04 6/28/2011 Annual ESRD Rate Update and Payment Methodology Notice
2011-03 7/6/2011 FQHC and RHC Claim Fluoride Varnish Billing 7/1/2011
2011-01 3/22/2011 Hospital Online Enrollment-2nd REVISION
2011-01 3/3/2011 Hospital Online Enrollment-REVISED
2011-02 1/18/2011 APC & ASC Fee Schedule Update 1/1/2011
2011-01 12/17/2010 Hospital Online Enrollment                      
2010-06 08/19/10 RHC Multiple Encounters 
2010-05 06/10/10 FQHC Claims – TPL & TOB 
2010-04 05/13/10  Hospital DSH Audit Notice
2010-03 03/11/10 Hospital Updates 00/00/00
2010-02 10/30/09 Hospital Never Events, Annual Rebasing, Outpatient Updates 00/00/00
2010-01 08/14/09 Hospital Updates 00/00/00
2009-17 06/25/09 Hospice rate update                                                                    07/01/09
2009-16 06/24/09 FQHC Claims For Behavioral Health Services                            07/01/09
2009-15 06/05/09 FQHC Claims For Services Outside The PPS Rate Reprocessing Date  06/08/09
2009-14 05/19/09 Outpatient Claims Processing Fix /Inpatient POA Ind Timeline REV 06/01/09
2009-13 05/15/09 FQHC System Fix For Services Outside The PPS Rate 06/01/09
2009-12 04/13/09 FQHC Claims Adjustment / System Issue Follow-up
2009-11 02/27/09 Outpatient Claims Processing Error /Inpatient Notification Reminder 01/01/09
2009-10 02/03/09 FQHC system issues on services outside the PPS rate  01/01/09
2009-09 01/30/09 DRG Base Rate Correction  01/01/09
2009-08 01/08/09 Outpatient BH Agency Providers - Billing Updates and Clarifications  03/01/09
2009-07 12/22/08  DRG Claims Processing Error 12/14/08
2009-06 11/24/08 Annual ESRD Rate Update REVISED 07/01/08
2009-05 11/17/08 Ambulatory Surgery Center Claim Changes  01/01/09
2009-04 11/21/08 Inpatient Notification and APC Changes 01/01/09
2009-03 10/27/08 RHC Medical Home Update 01/01/09
2009-02 10/13/08 Outpatient Hospital – Processing Changes and SFY08 TOP
2009-01 10/10/08 Annual DRG Rebasing 01/01/09

2008-03

05/27/08

Annual ESRD Rate Update

07/01/08

2008-02

05/27/08

Annual FQHC and RHC Rate Update

07/01/08

2008-01

04/02/08

FQHC Update – SoonerCare Choice Redesign

01/01/09

2007-06

10/01/07

Final DSH and Outpatient Hospital Supplemental Payment

 

2007-05

08/31/07

Annual DRG Rebasing Review

01/01/08

2007-04

07/20/07

DRG Claims Payment Error

 

2007-03

04/25/07

Split Eligible Claim Processing Update

 

2007-02

03/05/07

FFY08 DSH application process and misc info

2007-01

02/08/07

FQHC Billing Updates

2006-08

12/08/06

Home Health Private Duty Nursing Rate Increase

01/01/07

2006-07

11/07/06

Disproportionate Share Hospital Forum (Lawton)

12/05/06

2006-06

11/02/06

Disproportionate Share Hospital Forum (Tulsa)

11/27/06

2006-05

11/27/06

Changes to SoonerCare Hospital Reimbursement (final)

01/01/07

2006-04

10/25/06

Changes to SoonerCare Hospital Reimbursement (proposed)

01/01/07

2006-03

10/25/06

Disproportionate Share Hospital Forum (OKC)

11/07/06

2006-02

09/27/06

Changes to Blood Reimbursement

10/01/06

2006-01

09/26/06

Changes to Psychiatric Residential Treatment Facilities (PRTF)

10/01/06

Last Modified on Oct 07, 2021