2012 Global Messages

Last Modified on Feb 26, 2021

Posted Date	Subject	Message
12/27/2012	Change to Call Center Operations	Title: Change to Call Center Operations Run Date: 12/21/2012 – 02/10/2013 PV Types: All Beginning December 21, 2012 OHCA is making changes to its call center operations. For faster service, please use OHCA’s SoonerCare Secure web site or Member Eligibility Verification Voice Response System for all claims status and eligibility inquiries. Thank you for your cooperation. Please make sure all parties involved with Claims submission and eligibility verification have access to your secure site and EVR information. This transition does not affect the Pharmacy Help Desk calls.
12/13/2012	Behavioral Health PA Training	Title: Behavioral Health PA Training Run Date: 12/13/2012 – 02/01/2013 PV Type: 11, 53 SPC: 110, 112, 121, 115, 535, 536, 585 Dear Outpatient Behavioral Health Provider, The process for prior authorization for outpatient behavioral health services will restart on 1/15/2013. Working with OHCA, this process will be handled by ODMHSAS in PICIS and will be done by adding a few data elements to the CDC. For members active prior to 1/15/2013, ODMHSAS will create authorizations based on existing CDC information. ODMHSAS will have a large number of webinar trainings available. During those trainings, you will be shown the additional information required, the process to follow and be provided an explanation of how authorizations were created for existing customers. To register for the trainings, please go to http://www.odmhsas.org/arc.htm. The webinar trainings are rapidly filling up. Please enroll today to ensure your preference
12/5/2012	RETRACTION - Diabetic Strips & Lancets for Gestational Diabetes	Title: RETRACTION - Diabetic Strips & Lancets for Gestational Diabetes Run Date: 12/05/2012 – 03/31/2013 PV Types: DME Providers - 25; Physicians - 31 Message: RETRACTION to Global Message dated 09/24/2012 re: Diabetic Strips & Lancets for Gestational Diabetes OHCA Policy does not allow for exceptions for additional supplies without prior authorization for specific diagnosis codes. Consistent with policy 317:30-5-211.15; effective immediately only 2 boxes of diabetic strips (100 units) and 1 box of lancets (100 units) will be allowed per month without prior authorization. Diabetic supplies in excess of these limits must be prior authorized. For all PA-related questions, please call the Call Tree at (800)522-0114.
11/30/2012	Service Code H2017	After consulting with providers, infant mental health experts, and the Department of Mental Health and Substance Abuse (ODMHSAS) regarding the service code H2017 (psychosocial rehabilitation services – per 15 minutes), OHCA in consultation with ODMHSAS has decided to deny all claims with dates of service on or after 12-01-2012, submitted for H2017 for children aged 0-3 years old. Those who reviewed the use of H2017 agree that the medical necessity criteria cannot be met for members within that age range. Questions may be directed to Provider Services at 1-800-522-0114
11/29/2012	Adjustments/TPL Webinar	Title: Adjustments/TPL Webinar Run Dates: 11/29/2012 – 12/12/2012 PV Types: All PLEASE JOIN US FOR THE ADJUSTMENTS/TPL WEBINAR ON December 13, 2012! OHCA and HPES will host a webinar/conference call for all providers to review the correct process for submission of Adjustments and Third Party Liability (TPL) claims. The webinar/conference call will give detailed instructions and insight for these transactions on the secure site for SoonerCare providers. The webinar will take place via online virtual room and conference call on December 13th at 2:30 pm. Registration is limited, so register today!
11/2/2012	Behavioral Health PA Restart	Title: Behavioral Health PA Restart Run Date: 11/02/2012 – 01/30/2013 PV Type: 11, 53 SPC: 110, 112, 121, 115, 535, 536, 585 Dear Outpatient Behavioral Health Provider, The process for prior authorization for outpatient behavioral health services will restart on 1/15/2013. Working with OHCA, this process will be handled by ODMHSAS in PICIS and will be done by adding a few data elements to the CDC. For customers active prior to 1/15/2013, ODMHSAS will create authorizations based on existing CDC information. We will have a large number of webinar trainings over the coming months. During those trainings, we will be able to show you the additional information required, the process to follow and explain how authorizations were created for existing customers. For those providers who have data systems which send CDC data to PICIS, we have begun working with your vendors. We are pleased with their willingness to work with us through these changes. We hope your experience with PICIS provides you with the confidence that we will do everything possible to ensure authorizations are created timely, so that there will be no lapse in payment. We would also like to thank OHCA staff who have been very generous with their time and expertise. If you would like to receive email updates about changes in PICIS, please go to https://oklahoma.gov/odmhsas to subscribe. Respectfully, Mark A. Reynolds, Ed.D. Director of Decision Support Oklahoma Department of Mental Health and Substance Abuse Services mareynolds@odmhsas.org
10/24/2012	X-rays Submitted for Dental PAs	Title: X-rays Submitted for Dental PAs Run Date: 10/24/2012 – 12/14/2012 PV Types: Dental – 27 Spc: 086 - Dental Clinic 271 – General Dentistry Practitioner 274 – Pediatric Dentist 278 – General Dentist with Ortho Privilege 1. Only original film has an orientation dimple; therefore any print must identify a tooth of interest number or indicate which side of mouth is captured [L for left side, R for right side]. Please do not mark on teeth. This applies to any digital or film print that does not have the dimple for orientation. Any copies submitted that do not meet the above criteria cannot be reviewed. Please review policy 317:30-5-698(d).
10/22/2012	Enteral Food Prior Authorization Timespan Changes	Title: Enteral Food Prior Authorization Timespan Changes Run Dates: 10/22/2012 – 12/31/2012 PV Types: 250 – DME/Medical Supply Dealers Effective January 1, 2013, the MAU staff will begin approving Enteral prior authorization requests (PARs) for a maximum timespan of 6 months. In the past, we approved the PARs for up to 1 year. However, due to the changing needs of the member, many times the requests had to be terminated so a new request could be entered for the member. Therefore, we believe it will be beneficial to the staff reviewing / modifying these requests, as well as the member, to shorten the timespan to 6 months. Thank you for your understanding and cooperation in this matter.
10/22/2012	Deadline for Enteral Food Prior Authorization Revisions due to Pricing Methodology Change 10/31/12	TITLE: Deadline for Enteral Food Prior Authorization Revisions due to Pricing Methodology Change 10/31/12 Run Date: 10/12/12 – 10/31/12 PV TYPES: 250- DMEPOS Suppliers The original notice of the changes to pricing and instructions for obtaining a revised PA was sent on 7/18/12. The deadline for this option is October 31, 2012. Providers must submit the documentation necessary to the fax # listed below to have the prior authorization revised. Excerpt from Global Message sent 7/18/12 The following codes were changed from Max fee to Manual Pricing to align with PDAC: B4157 – B4158 – B4159 – B4160 – B4161 – B4162. Effective immediately all requests for codes listed above must contain number of calories per can/packet, an invoice stating if priced per can/packet or case. If priced by case, state number of cans/packet per case. If you have Prior Authorizations that span service dates after 7/1/12, please send a list including Member ID, Prior Authorization number, number of units to be billed after 7/1/2012, a copy of your invoice and the information listed above regarding invoice information and caloric information so that OHCA can adjust the Prior Authorization appropriately. Please fax the detailed lists to 405-530-3261. Lists submitted to any other fax number will not be processed. This is a temporary number established for this purpose only and may not be used for any other Prior Authorization requests.
10/18/2012	Reminder: Cost Reports Due for SFY12	Title: Reminder: Cost Reports Due for SFY12 Run Date: 10/17/2012 – 11/01/2012 PV Types: 03 & Spc 030 (NF) Attention: All Long Term Care Facility Providers - Cost Reports for SFY12 are due by October 31, 2012. According to the approved State Plan, facilities late in filing Cost Reports may lose the direct care component of their rate. Full year reports are required to be filed on the secure website and partial year reports are required to be filed on the form available on the OHCA public website.
10/17/2012	Reminder: 2012 Fall Training Registration	Title: Reminder: 2012 Fall Training Registration PV Types: All Run Date: 10/17/2012 – 10/23/2012 Registration for the Oklahoma City Fall Workshop [scheduled for October 24-25, 2012] will close at 5:00 PM effective 10/17/2012. Walk-in registration will be allowed at this location beginning at 8:00 a.m. on October 24th & 25th. Workshops will begin at 8:30 a.m. Information and registration is available on our Training page. We look forward to seeing you this Fall!
10/10/2012	Adjustments/TPL Webinar	TITLE: Adjustments/TPL Webinar RUN DATE: 10/10/12-10/15/12 PF TYPE: All Provider Types PLEASE JOIN US FOR THE ADJUSTMENTS/TPL WEBINAR ON OCTOBER 17TH! OHCA and HPES will host a webinar/conference call for all providers to review the correct process for submission of Adjustments and Third Party Liability (TPL) claims. The webinar/conference call will give detailed instructions and insight for these transactions on the secure site for SoonerCare providers. The webinar will take place via online virtual room and conference call on October 17th at 2:30pm. Please register to take part. Register today! Information is available on our Training page. Registration is available at: (Expired Link)
9/24/2012	Diabetic Strips & Lancets for Gestational Diabetes	Title: Diabetic Strips & Lancets for Gestational Diabetes Run Date: 09/21/2012 – 11/05/2012 PV Types: DME Providers - 25; Physicians - 31 Message: Effective September 1, 2012, TXIX members with a diagnosis of gestational diabetes (Dx codes: 648.00, 648.03, 648.80 or 648.83) will be allowed one (1) additional vial of diabetic strips and one (1) additional box of lancets per month without a prior authorization (PA). This should allow sufficient supplies for testing four (4) times per day. For all PA-related questions, please call the Call Tree at (800)522-0114.
9/12/2012	2012 Fall Training Registration	Title: Reminder: 2012 Fall Training Registration PV: All Run Date: 09/11/2012 – 09/21/2012 Registration for the Lawton Fall Workshop [scheduled for September 20, 2012] will close at 5:00 PM effective 09/13/2012. Walk-in registration will be allowed at this location beginning at 8:00 a.m. on September 20th. Workshops will begin at 8:30 a.m. Tulsa and OKC registration remains open at this time. Information and registration is available on our Training page. We look forward to seeing you this Fall!
9/6/2012	Reminder: 2012 Fall Training Registration	Title: Reminder: 2012 Fall Training Registration Run Dates: 09/06/2012 – 09/14/2012 PV Types: All Registration for the Durant Fall Workshop [scheduled for September 13, 2012] will close at 5:00 PM effective 09/06/2012. We encourage you to register today! Walk-in registration will be allowed at this location beginning at 8:00 a.m. on September 13th. Workshops will begin at 8:30 a.m. Lawton, Tulsa and OKC registration remains open at this time. Information and registration is available on our Training page. We look forward to seeing you this Fall!
8/29/2012	Webinar: NODOS/NB1	Title: Webinar: NODOS/NB1 Run Date: 08/29/2012 – 09/17/2012 PV TYPE: 01 – Hospitals PLEASE JOIN US FOR THE NODOS/NB1 WEBINAR ON SEPTEMBER 18TH! OHCA and HPES will host an important Webinar/Conference call for hospitals and birthing centers to review the correct submission process of Notification of Date of Service (NODOS) and the Newborn application, NB1. The Webinar/Conference call will give detailed instructions and insight for these transactions on the secure site for both SoonerCare and potential SoonerCare members. The webinar will take place via online virtual room and conference call on September 18th at 2:30. Please register to take part. Register today! Information is available on our Training page. Registration is available at: (Expired Link)
8/27/2012	School Based Training Schedule	Title: School Based Training Schedule Run Dates: 08/27/2012 – 10/24/2012 PV Types: 12 / Spc 120 School-Based Training is scheduled for the following dates and times. September 10, 2012 – Poteau (1:00pm - 03:00pm) September 11, 2012 – Stillwater (10:00am - 12:00pm) October 2, 2012– Oklahoma City (10:00am - 12:00pm) October 23, 2012– McAlester (10:00am - 12:00pm) Register for the training through OHCA website at (Expired Link)
8/27/2012	2 Fall Provider Training Workshop	Title: 2012 Fall Provider Training Workshop Run Date: 08/24/2012 – 10/25/2012 PV Types: All PLEASE JOIN US FOR THE 2012 FALL PROVIDER TRAINING WORKSHOP! Providers who attend will get beneficial information on SoonerCare policies and programs. Specific classes include Claims Denials, Transition to ICD-10 and Med Solutions, just to name a few! Register today! Information and registration is available on our Training page. Durant, OK will be the first stop on September 13 followed by: Lawton, September 20; Tulsa, October 10–11; and, conclude in Oklahoma City, October 24–25.
8/13/2012	Therapeutic Foster Care Changes to the Inspection of Care Audit Processes	Title: Therapeutic Foster Care Changes to the Inspection of Care Audit Processes Run Dates: 07/30/2012 – 09/30/2012 PV Types: 45 – Foster Care Agency 451 – RBMS Therapeutic Foster Care This notification serves to clarify the policy requirements for the Inspection of Care (IOC) audit processes for Therapeutic Foster Care agencies. In accordance with 317.30-5-743.1, policy requires a recoupment of the compensation received for a service when an audit deficiency is found. The related Oklahoma Administrative Code states: “Deficiencies found during the IOC may result in a recoupment of the compensation received for that service. The individual plan of care is considered to be critical to the integrity of care and treatment and must be completed within the time lines designated at OAC 317:30-5-742.2. If the individual plan of care is missing or it is found that the child did not meet medical necessity criteria at any time, all paid services will be recouped for each day the individual plan of care was missing from the date the plan of care was due for completion.” In the last state fiscal year, the IOC auditors utilized a recoupment system that was based on the bundled payment methodology: Partial recoupments of $10 for each identified audit deficiency. Since the payment method has changed from a bundled to a fee for service compensation, the previous recoupment system is no longer applicable. In compliance with the OAC, the fee for service recoupment process specified in the OAC will be utilized for the 2012-2013 inspections of care audits. We wish to thank you for your continued support and the services you provide SoonerCare members. If you have any questions or need additional information, please contact Provider Services at (800) 522-0114 or (405) 522-6205.
7/18/2012	Pricing Changes for Enteral Food HCPCS Codes	Title: Pricing Changes for Enteral Food HCPCS Codes Run Dates: 07/18/2012-09/30/2012 PV Types: 250 – DMEPOS Suppliers Effective July 1, 2012, for TXIX members only, OHCA aligned Enteral Food products with the CMS fee schedule and PDAC coding. The following codes are affected by these changes: B4155 – From $ 1.11 to $.91 – CMS Allowable is $ .94 minus 3.25% budget reduction. The following codes were changed from Max fee to Manual Pricing to align with PDAC: B4157 – B4158 – B4159 – B4160 – B4161 – B4162. Effective immediately all requests for codes listed above must contain number of calories per can/packet, an invoice stating if priced per can/packet or case. If priced by case, state number of cans/packet per case. If you have Prior Authorizations that span service dates after 7/1/12, please send a list including Member ID, Prior Authorization number, number of units to be billed after 7/1/2012, a copy of your invoice and the information listed above regarding invoice information and caloric information so that OHCA can adjust the Prior Authorization appropriately. Please fax the detailed lists to 405-530-3261. Lists submitted to any other fax number will not be processed. This is a temporary number established for this purpose only and may not be used for any other Prior Authorization requests.
7/18/2012	ICD-10 Provider Conversion Assessment Survey	Title: ICD-10 Provider Conversion Assessment Survey Run Dates: 07/16/2012 – 08/18/2012 PV Types: All OHCA would appreciate your input on an ICD-10 Provider Conversion Assessment survey. This survey will provide us with insight to better plan the ICD-10 implementation and develop helpful workshops that can be offered in support of the ICD-10 effort. Please locate the survey on the Provider web site and respond soon.
7/13/2012	Frequently Asked Questions – OKDMERP	Title: Frequently Asked Questions – OKDMERP Run Dates: 07/12/2012 – 09/30/2012 PV Types: 250- DMEPOS Suppliers The OKDMERP (Oklahoma Durable Medical Equipment Reuse Program) is attempting to assist OHCA providers regarding frequently asked questions regarding the process for donation and reassignment for medical equipment for the reuse program. Please assist us by sending your questions via email to Stan Ruffner – DME Director at either stan.ruffner@okhca.org or fax to 405.530.3326. The FAQ and answers will be posted to the DME web page for your future reference.
6/11/2012	Annual Update to RBRVS Fee Schedule	Title: Annual Update to RBRVS Fee Schedule Run Date: 06/11/2012 – 08/01/2012 PV Types: All This is our annual reminder that we rebase our provider RBRVS fee schedule effective July 1 of each year. This allows us to incorporate all Medicare fee schedule changes and follows our current approved methodology. The rate cut of 3.25% is still in effect. If you have any questions please, contact Provider Services at (800)522-0114 option 1.
6/11/2012	EHR Attestations During Contract Renewal Period	Title: EHR Attestations During Contract Renewal Period Run Date: 06/05/2012 – 07/20/2012 PV Types: 31, 52 Due to a system limitation, EHR Attestations cannot be submitted until contract renewals are submitted and processed. If you would like to submit an attestation for the EHR Incentive Program, please submit your contract renewal as soon as possible. We apologize for any inconvenience this will cause.
5/29/2012	Correction to Provider Letter 2012-27	Title: Correction to Provider Letter 2012-27 Run Date: 05/29/2012 – 07/15/2012 PV Types: 03; SPC 30, 35 (Nursing Facilities) NURSING FACILITY PROVIDERS: Please note that Provider Letter OHCA 2012-27 [dated May 22, 2012] has an erroneous date of implementation of January 1, 2012 in the third paragraph. The correct date of implementation is July 1, 2012.
5/15/2012	Registration for 2012 Tulsa Spring Training	Title: Registration for 2012 Tulsa Spring Training Run Date: 05/15/2012 – 05/24/2012 PV Type: All Registration for the Tulsa Spring Workshop [scheduled for May 22 & 23, 2012 at the OSU - Tulsa Conference Center, 700 N. Greenwood Ave., Tulsa, OK 74106] will close at 5:00 PM effective 05/15/2012. This is the last workshop for the spring so don’t miss out! You can still attend through a walk-in registration. Walk-in registration will be allowed (with your provider number)at this location beginning at 8:00 a.m. on May 22th and 23rd. Workshops will begin at 8:30 a.m. Please come at least 15-20 minutes before the first class you wish to attend. Information and registration is available on our Training page. We look forward to seeing you!
5/15/2012	Latest Policy Changes/Updated Links for Inpatient & Outpatient Providers	Title: Latest Policy Changes/Updated Links for Inpatient & Outpatient Providers Run Date: 05/15/2012 – 06/30/2012 PV Types: 01, 11, 53 Spc: 010, 011, 013, 015, 110, 112, 121, 585, 115, 535, 536 Several revisions to the existing behavioral health policy were promulgated and went into effect on 3/7/12. OHCA Medicaid Rules Page.. Listed below are links to the policy for different provider types: Part 6 – INPATIENT PSYCHIATRIC HOSPITALS: /content/sok-wcm/en/okhcaxPolicyPart.aspx?id=547&chapter=30&subchapter=5&part=6&title=INPATIENT%20PSYCHIATRIC%20HOSPITALS Part 21 – OUTPATIENT BEHAVIORAL HEALTH SERVICES (ALL SECTIONS): /content/sok-wcm/en/okhcaxPolicyPart.aspx?id=562&chapter=30&subchapter=5&part=21&title=OUTPATIENT%20BEHAVIORAL%20HEALTH%20SERVICES Part 25 – PSYCHOLOGISTS: /content/sok-wcm/en/okhcaxPolicyPart.aspx?id=564&chapter=30&subchapter=5&part=25&title=PSYCHOLOGISTS Part 26 – LICENSED BEHAVIORAL HEALTH PROVIDERS: /content/sok-wcm/en/okhcaxPolicyPart.aspx?id=655&chapter=30&subchapter=5&part=26&title=LICENSED%20BEHAVIORAL%20HEALTH%20PROVIDERS Part 67 – BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES: /content/sok-wcm/en/okhcaxPolicyPart.aspx?id=589&chapter=30&subchapter=5&part=67&title=BEHAVIORAL%20HEALTH%20CASE%20MANAGEMENT%20SERVICES Part 83 – RESIDENTIAL BEHAVIOR MANAGEMENT SERVICES: /content/sok-wcm/en/okhcaxPolicyPart.aspx?id=597&chapter=30&subchapter=5&part=83&title=RESIDENTIAL%20BEHAVIOR%20MANAGEMENT%20SERVICES The following is a link to the OHCA proposed rule changes page : /content/sok-wcm/en/okhca/providers/policies-and-rules/public-notices. With each posting on this page, there is an opportunity to complete an electronic feedback form. The OHCA seeks advice and consultation from medical professionals, professional and tribal organizations, and the general public in developing new or amended policies and rules. The proposed rule changes page is designed to give all constituents an opportunity to review and make comments regarding upcoming rule changes.
4/25/2012	Reminder: 2012 Spring Training Registration	Title: Reminder: 2012 Spring Training Registration PV: All Run Date: 04/25/2012 – 05/10/2012 Registration for the Enid Spring Workshop [scheduled for May 9, 2012] will close at 5:00 PM effective 05/02/2012. Walk-in registration will be allowed at this location beginning at 8:00 a.m. on May 9th. Workshops will begin at 8:30 a.m. OKC and Tulsa registration remains open at this time. Information and registration is available on our Training page. We look forward to seeing you this Spring!
4/16/2012	Latest Policy Changes	Title: Latest Policy Changes Run Date: 04/16/2012 – 05/15/2012 PV Types: 11, 53 Spc: 110, 112, 121, 585, 115, 535, 536 Dear Behavioral Health Providers: Several revisions to the existing behavioral health policy were promulgated and went into effect on 3/7/12. Listed below are links to the policy for different provider types: OHCA Medicaid Rules Page: /content/sok-wcm/en/okhca/xpolicy Part 6 – INPATIENT PSYCHIATRIC HOSPITALS: http://okhca.org/xPolicyPart.aspx?id=547&chapter=30&subchapter=5&part=6&title=INPATIENT%20PSYCHIATRIC%20HOSPITALS Part 21 – OUTPATIENT BEHAVIORAL HEALTH SERVICES (ALL SECTIONS): http://okhca.org/xPolicyPart.aspx?id=547&chapter=30&subchapter=5&part=21&title=OUTPATIENT%20BEHAVIORAL%20HEALH%20SERVICES Part 25 – PSYCHOLOGISTS: http://okhca.org/xPolicyPart.aspx?id=547&chapter=30&subchapter=5&part=25&title=PSYCHOLOGISTS Part 26 – LICENSED BEHAVIORAL HEALTH PROVIDERS: http://okhca.org/xPolicyPart.aspx?id=547&chapter=30&subchapter=5&part=25&title=LICENSED%20BEHAVIORAL%20HEALTH%20PROVIDERS Part 67 – BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES: http://okhca.org/xPolicyPart.aspx?id=547&chapter=30&subchapter=5&part=25&title=BEHAVIORAL%20HEALTH%20CASE%20MANAGEMENT%20SERVICES Part 83 – RESIDENTIAL BEHAVIOR MANAGEMENT SERVICES: http://okhca.org/xPolicyPart.aspx?id=597&chapter=30&subchapter=5&part=83&title=RESIDENTIAL%20BEHAVIOR%20MANAGEMENT%20SERVICES The following is a link to the OHCA proposed rule changes page: /content/sok-wcm/en/okhca/providers/policies-and-rules/public-notices. On this page, there is sign up button for “web alerts”. These alerts will send an email notification when there is a new posting for a proposed rule change. With each posting on this page, there is an opportunity to complete an electronic feedback form. The OHCA seeks advice and consultation from medical professionals, professional and tribal organizations, and the general public in developing new or amended policies and rules. The proposed rule changes page is designed to give all constituents an opportunity to review and make comments regarding upcoming rule changes.
4/3/2012	Reminder: 2012 Spring Training Registration	Title: Reminder: 2012 Spring Training Registration PV: All Run Date: 04/03/2012 – 04/15/2012 Registration for the Durant Spring Workshop [scheduled for April 12, 2012] will close at 5:00 PM effective 04/05/2012. Walk-in registration will be allowed at this location beginning at 8:00 a.m. on April 12th. Workshops will begin at 8:30 a.m. Enid, OKC and Tulsa registration remains open at this time. Information and registration is available on our Training page. We look forward to seeing you this Spring!
3/28/2012	2012 Spring Provider Training Workshop	Title: 2012 Spring Provider Training Workshop Run Date: 3/21/2012-5/15/2012 PF Type: All PLEASE JOIN US FOR THE 2012 SPRING PROVIDER TRAINING WORKSHOP! Providers who attend will get beneficial information on SoonerCare policies and programs. Specific classes include Electronic Provider Enrollment, Provider’s Guide to Member Eligibility, Adjustments/TPL and SoonerCare Beyond the Basics, just to name a few! Register today! Information and registration is available on our Training page. Durant, OK will be the first stop on April 12 followed by: Enid, May 9; Oklahoma City, May 16–17; and, conclude in Tulsa, May 22–23.
3/15/2012	Transportation Claim Modifiers	Title: Transportation Claim Modifiers Run Date: 03/14/2012 – 04/29/2012 PV Types: 26-Transportation 073-Non ER 260-Ambulance 261-Air Ambulance 262- Bus 263-Taxi Effective February 8, 2012 when submitting claims with the IH, RH, and SH modifiers, these claims will no longer suspend for review. It is not necessary to attach documentation when submitting these claims for processing. If you have any further questions please contact the OHCA call center at 1-800-522-0114.
3/9/2012	Comprehensive Treatment Plans – ATTENTION: Orthodontists Only	Title: Comprehensive Treatment Plans – ATTENTION: Orthodontists Only Run Date: 03/09/2012 – 04/25/2012 PV SPC: 273 – Orthodontists On 02/01/2012 you received notification of the requirement for comprehensive treatment plans for prior authorization. This requirement was intended for general dentistry providers only. Please continue to submit your request as you did previously.
3/1/2012	Attestations for Stage 1 Meaningful Use	Title: Attestations for Stage 1 Meaningful Use Run Date: 03/01/2012 – 04/15/2012 PV Types: 31- Physicians 52- State Employed Physicians 09- Advance Practice Nurse 27- Dentist 10– Mid-level Practitioners Attestations for Stage 1 Meaningful Use Begins April 1, 2012. Beginning April 1st, 2012 eligible professionals can begin submitting attestations for Stage 1 of Meaningful Use. To be eligible to attest for Stage 1, you must have 90 days of Meaningful Use. For more information please visit our EHR Incentive page.
3/1/2012	EHR Participation Year 2011	Title: EHR Participation Year 2011 Run Date: 03/01/2012 – 04/15/2012 PV Types: 31- Physicians 52- State Employed Physicians 09- Advance Practice Nurse 27- Dentist 10– Mid-level Practitioners EHR Participation Year 2011 is coming to an end. March 31st, 2012 will be the last day to attest for participation year 2011. If you qualify for the EHR Incentive program, please submit your attestations now. For more information please visit our EHR Incentive page.
2/15/2012	Secure Site Update – Now Available	Title: Secure Site Update – Now Available Run Date: 02/15/2011 – 04/01/2012 PV Types: All The provider secure site is now functional; however, intermittent access issues may be experienced. If the first log-in attempt is unsuccessful, please try again before calling the OHCA Call Center to report the issue. OHCA and HP continue to conduct their research and are closely monitoring the site’s activity. Please note that some of the claims search features have been disabled (i.e., grayed out) due to their impacts on response time. Specifically, the patient dental history search is currently unavailable, and for all other provider types, the only claim search criterion that is currently available is for ICN. OHCA and HP are diligently working to identify and resolve the issues impacting response times related to searches and plan to re-enable all search features as soon as possible. We apologize for any inconvenience this may cause.
2/15/2012	Dental History	Title: Dental History Run Date: 02/15/2012 – 04/01/2012 PV Types: 27 – Dentist 86 – Dental Clinic 271 – General Dentistry 272 – Oral Surgeon 273 – Orthodontist 274 – Pediatric Dentist The patient dental history is not currently available. You will be notified when the system again becomes functional. We apologize for any inconvenience this may cause. Thank you.
2/15/2012	NODOS Submission Dates	Title: NODOS Submission Dates Run Date: 02/14/2012 – 04/01/2012 PV Types: 01 – Hospitals Due to the outage of the secure site all NODOS submissions during the week of February 13–19, 2012 will have an effective date of February 10, 2012.
2/15/2012	Claims Submission Extension	Title: Claims Submission Extension Run Date: 02/15/2012 – 03/01/2012 PV Types: All As you are aware, there are unexpected difficulties with OHCA’s secure provider site. OHCA is extending the claims submission date until 12:00 noon on Thursday, February 16, 2012. The payment cycle scheduled for Wednesday, February 22, 2012 remains the same.