Patient-Centered Medical Home
SoonerCare Choice Redesign Updates
SoonerCare Choice Redesign Goals
- Guarantee the availability of a medical home with a primary care provider for all SoonerCare Choice members
- Enhance patient choice and participation in health decisions
- Assure all members receive all necessary preventive and primary care, including immunizations and health screenings
- Increase the provider network
- Reduce inappropriate Emergency Department visits and hospitalizations
- Realign payment incentives to improve cost effectiveness & quality
- Promote the use of health information systems
Medical Home Evaluation Forms
On an annual basis, providers can request one assignment to a new level. OHCA will review the request and, if the reassignment is granted, the change will be effective on the following January 1. In order to have a level change effective January 1, of the following year, OHCA needs to receive your request by September 30, of the current year.
Care Coordination Rates 10/1/19
| Entry Level | Advanced Level | Optimal Level | |
| Adult Only |
5.08 | 6.63 | 8.82 |
| Child and Adult |
4.39 | 5.73 | 7.61 |
| Child Only |
3.63 | 4.73 | 6.28 |
PCP Tools and Resources
- Resources and Tools (Forms, Practice Guidelines)
- OHCA Care Management Department
- OHCA Health Management Program
- Health Access Network Defined
- Community Resources to Support the Medical Home Concept
- Quality Initiatives
- NASHP monitors state efforts to advance medical homes for Medicaid and CHIP participants.
- Patient Dismissal Process
Behavioral Health Screenings
Screening and brief intervention is an integral part of preventive health. Time is a critical factor for PCPs. Blended approaches to screening help a great deal in improving the efficiency of a comprehensive effort at prevention. The OHCA behavioral health and substance abuse screening tool can aid in this effort because it is an integrated approach.
Reimbursement
Last Modified on
Apr 04, 2024
