Global Messages
2026 Global Messages
| DATE POSTED | TITLE | MESSAGE |
|---|---|---|
| 1/28/26 | Coverage for 0716T Acoustic Waveform Recording of Heart | Provider types: 01, 08, 09, 10, 31, and 52 Effective Feb. 1, 2026, OHCA will be opening coverage for 0716T (acoustic waveform recording of heart with automated analysis and generation of coronary artery disease risk score) for the CADScor System. Coverage will be for ages 40-999 with no prior authorization required. Reimbursement is set for manual pricing, with outpatient hospital APC pricing set at $53.12. The CADScor System is intended for patients experiencing chest pain with suspected CAD. |
| 1/23/26 | Contract Extension Update for Providers with January 31, 2026 end dates | Audience: 10, 22, 34, 52, 71, 81, 82, 86, 87, 88, 107, 108, 182, 184, 185, 186, 187, 188, 189, 191, 192, 193, 194, 195, 196, 197, 198, 199, 202, 203, 208, 243, 84, 106, 92, 93, 94, 95, 96, 110, 112, 150, 164, 207, 241, 268, 271, 272, 273, 277, 270, 276, 275, 281, 280, 291, 290, All, 570, 571, 572, 634, 635 Message: We are currently processing contract extensions for all providers with end dates of January 31, 2026. Contracts will be extended through April 30, 2026. No action is required from providers during this update. Once the extensions are finalized, the updated end dates will appear in your provider portal. If you have questions, please contact or 800-522-0114, option 5. |
| 1/21/26 | Amended Executive Order 2025-16 Attestation FAQs | Provider types: All Dear Provider, The implementation of Executive Order 2025-16 has been reinstituted. Please reference the provider letter that was sent to the point of contact on file with OHCA for information and instructions. Providers who have already submitted an attestation do not need to take further action. Sincerely, |
| 1/16/26 | Long-acting Reversible Contraceptives (LARC) Training | Provider types: 08, 09, 10,13, 16, 31, 52 The Focus Forward Oklahoma Program is working to address issues related to access and utilization of long-acting reversible contraceptives (LARC). There are currently four training courses scheduled:
Focus Forward Oklahoma offers no-cost LARC training to Oklahoma providers, clinical support staff and administrative staff. Register for the training or visit our Provider Training web page for more information about Focus Forward. |
| 1/15/26 | 71271 Low-dose CT Lung Cancer Screening |
Providers: All Effective Feb. 1, 2026, OHCA will no longer require a prior authorization for CPT 71271 (low-dose CT lung scan). The test will be allowed once per calendar year. |
| 1/9/26 | Automated and AI-generated Calls | Providers: All OHCA has seen an increase in automated and AI-generated calls to our provider helplines. These systems cannot effectively interact with helpline staff and are contributing to delays for providers seeking live assistance. To reduce waiting times and ensure timely support, OHCA asks that helpline phone numbers not be used in automated or AI-driven calling systems. Automated or AI-generated calls may be disconnected so we can support live callers. Eligibility verification, covered services, claims and prior authorization information are still available through the secure provider portal. |
| 1/8/26 | 98960-98962 coverage changes |
Providers: All Effective March 31, 2026, OHCA will end current coverage for 98960-98962. These codes were set up in the system several years ago to allow additional reimbursement to providers performing asthma and/or diabetes education to members ages 0-20. After March 31, reimbursement for this education will be included in other services, such as E&M visits or dedicated diabetic self-management codes. As of April 1, 2026, 98960-98962 will be used to report community health worker (CHW) services. Information about CHW services and reimbursement will be forthcoming. |
| 1/5/26 | SBIRT and Alcohol Use Disorder Webinar | Date: January 27, 2026 Provider Type: 01 (hospital), 08 (clinic),09 (Advance Practice Nurse), and 10 (Physician). Join the Oklahoma Health Care Authority for an upcoming webinar offering an overview of Screening, Brief Intervention and Referral to Treatment (SBIRT). The webinar will be held at noon on Tuesday, Jan. 27. SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services. |
| 1/5/26 | New Supplemental Prior Authorization Resource Form for Psychological Testing | From: Aetna Better Health of Oklahoma, Humana Healthy Horizons, Oklahoma Complete Health, Oklahoma Psychological Association Run Dates: 12/31/2025 -1/12/2026 Provider Type: 112 We are pleased to announce the release of a new optional prior authorization resource form, jointly developed by Aetna Better Health of Oklahoma, Humana Healthy Horizons, Oklahoma Complete Health and the Oklahoma Psychological Association. Providers can access the form on the contracted entity websites. This form is intended to support you in the prior authorization process. Use is optional and offered as a helpful resource. Please note: This form applies only to SoonerSelect contracted entity service providers. For SoonerCare fee‑for‑service providers, the authorization process remains unchanged. If you have questions, please contact your SoonerSelect provider representative:
Thank you for your partnership. |
| 1/5/26 | Register for SoonerSelect Provider Town Halls | Provider Types: All Join OHCA leaders and our SoonerSelect partners to learn more about SoonerSelect. You'll have an opportunity to hear an update from OHCA and ask questions. You can participate in person or virtually. Please register for each event you plan to attend. Look for the virtual link on the confirmation page after completing your registration. Oklahoma City | 10-11 a.m., Tuesday, Jan. 13 Where: Metro Tech Springlake Campus Tulsa | 1-2 p.m., Wednesday, Jan. 14 Where: OU-Tulsa Schusterman Center Ada | 1-2 p.m., Thursday, Jan. 15 Where: Pontotoc Technology Center |