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School-Based Services

Claim Tools

Policy on Qualified schools as providers of health-related services
Fee Schedule: School Based services pursuant to an Individualized Education Program (IEP)
Claims Tools (secure portal, electronic submission, billing manual, PIN reset)
Telehealth

School-Based Prior Authorizations PERSONAL CARE only

NOTICE: Effective 9/14/2018, all initial (new) PAR's must be initiated using the SoonerCare Provider Portal, including the upload of the school based personal care request form.
- OHCA School Based Personal Care request form
- How to submit a prior authorization request on the OHCA provider portal (PowerPoint)

Enrollment

Schools and rendering providers must fill out an OHCA contract if not already contracted with OHCA, including subcontracted professional providers and school-based paraprofessionals (RN, LPN, BHSA, school psychologists and personal care assistants)
Enrollment
Provider Enrollment questions: Please contact SoonerCare at (800) 522-0114 option 5

Resources

Provider Training (Sign up for November 4, 2020 webinar.)
School-Based Services Training
SoonerCareEducation@okhca.org (for in-person training on the provider portal, PAR's, claims, etc.)

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

Contact Us

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.