Request for New or Expanded SoonerCare Coverage Consideration

Oklahoma Medicaid enrolled clinicians may request consideration for SoonerCare coverage or expanded coverage of a new service, procedure, technology, device or other benefit. For the request to be considered, please complete and submit a Request for New SoonerCare Coverage Consideration Form. Remember to attach any requested supporting documents and any other evidence-based documents you wish to be considered to the completed form.

Services that are investigational, non-FDA approved, experimental, or solely cosmetic, will not be considered for coverage. All services must be medically necessary in accordance with OAC 317:30-3-1(f).

We do not review requests from vendors or manufacturers without a specific clinician with a specific medical need for a specific member or member group.

Download RCI Request Form

Last Modified on Mar 07, 2025

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.