Spring 2020 Provider Workshop
| Child Health |
Recommended Audience: Providers and groups that work with children ages 20 and under. Description: This class is a comprehensive review of the benefits package for all SoonerCare children ages 20 and under. It will also include a look at any recent updates or changes that affect coverage. Presentation: Child Health |
| Durable Medical Equipment and Supplies Update |
Recommended Audience: OHCA contracted DME providers. Description: This class will discuss upcoming changes to durable medical equipment and supplies. Presentation: DME Update |
| Journey of a Claim |
Recommended Audience: This class will be appropriate for contracted SoonerCare providers and staff. Description: This class provides an overview of the processes once a claim is submitted via Electronic Data Interchange (EDI) or Provider Portal to Oklahoma SoonerCare. Providers will also learn about possible scenarios that can happen during adjudication and the resolutions. We will also cover common denials, the special batch process and provide resources for future reference. Presentation: Claims |
| Outpatient Behavioral Health: Policy, PICIS, and the Portal |
Recommended Audience: This class will be appropriate for contracted outpatient behavioral health providers, i.e. outpatient agencies, behavioral health groups, and privately contracted LBHP’s and staff. Description: This class will review the SoonerCare Outpatient Behavioral Health Program. It will include an overview of commonly asked questions by behavioral health provider type, as well as reviewing recent changes in policy. This class will include a short tutorial of submitting a CDC/PA in the PICIS system. We will cover eligibility, treatment history, view authorization status, and claim submission for outpatient behavioral health on the Provider Portal. This is a how-to class and will not cover any clinical information. Presentation: Outpatient BH |
| PCMH Essentials |
Recommended Audience: Current and prospective patient-centered medical home providers. Description: This class will discuss the components of becoming and maintaining a patient centered medical home contract with OHCA. Topics discussed will include required screenings, coverage, incentives and other helpful tools and tips. Presentation: PCMH |
| What is SoonerCare? A Summary of Benefits, Programs, and Eligibility |
Recommended Audience: This class will be appropriate for contracted SoonerCare providers and staff. Description: This class is an overview of the various member eligibility methods and a summary of general SoonerCare programs. We will demonstrate how these plans appear on the provider portal and how they apply to you. This class will not cover policy or claim submission. Presentation: SoonerCare |
