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2006 Global Messages
2021 Global Messages
| Date Posted | Title | Message |
| 5/5/21 | SoonerSelect Basics Webinars |
OHCA will be presenting webinars titled SoonerSelect Basics during May and June 2021. Additional training dates will be posted at a later time. The classes are provider type specific and will provide an overview of the upcoming Managed Care Organization (MCO) changes. Topics include transition to managed care, member populations affected by the transition, contracting with an MCO, requirements of the MCOs and responsibilities of OHCA. Note: The webinar registration requires manual approval. Once approved, you will receive a confirmation email containing information about joining the webinar. Select the registration link below to attend the webinar session for your provider type: Hospital Providers: Tuesday, May 18 from 10 a.m. – 11:30 a.m. https://okhca.zoom.us/webinar/register/WN_a1r0ueZuSQaxfIZ0sfi1dw Physicians and Physician Groups: Thursday, May 20 from 2 p.m. – 3:30 p.m. https://okhca.zoom.us/webinar/register/WN_YRVt3i8XSk-VANfTB5NIgg Behavioral Health: Tuesday, May 25 from 10 a.m. – 11:30 a.m. https://okhca.zoom.us/webinar/register/WN_HR0kSKGQRw2MT_bU2RO1uQ Occupation, Physical and Speech/Language Pathology: Thursday, May 27 from 10 a.m. – 11:30 a.m. https://okhca.zoom.us/webinar/register/WN_dm7xWV3vRIeqhyGix2nnPA Durable Medical Equipment (DME): Tuesday, June 1 from 1 p.m. – 2:30 p.m. https://okhca.zoom.us/webinar/register/WN_kDePgElCQ5yXcG7No9Y3TQ Pharmacy: Thursday, June 3 from 10 a.m. – 11:30 a.m. https://okhca.zoom.us/webinar/register/WN_iBOBEQpGSSybu2o2iYIvXg |
| 5/2/21 | SoonerSelect (Dental) | OHCA will be presenting webinars titled "SoonerSelect Dental Basics" on Tuesday, May 11 from 2 p.m. to 3:30 p.m. and Thursday, May 13 from 10 a.m. to 11:30 a.m. This class provides an overview of the upcoming Dental Benefit Plan (DBP) changes. Topics include transition of managed care, member populations affected by the transition, contracting with a DBP, requirements of the MCO/DBPs and responsibilities of OHCA. The webinar registration requires manual approval. Once approved, you will receive a confirmation email containing information about joining the webinar. |
| 4/30/21 | Prior Authorizations Virtual Town Hall | OHCA will host town hall meetings throughout the state and virtually to answer provider and stakeholder questions about our new managed care program, SoonerSelect. Please complete the below registration form if you plan to attend this virtual-only town hall about prior authorizations. Register to attend here: https://oklahoma.gov/ohca/townhall/prior-authorizations Look for a link to join the webinar after completing the registration form. The meeting will be recorded, and a replay will be available at a later date. Date and Time Wednesday, May 5 3:30 - 4:00 PM Location Online webinar via Zoom. |
| 4/22/21 | Important Dates |
Provider Types/Specialties: All Medicaid Expansion - July 1, 2021: Oklahomans voted to expand SoonerCare eligibility to adults ages 19-64 whose income is 138% of the federal poverty level or lower. This equates to an estimated annual income of $17,796 for an individual or $36,588 for a family of four. Members may begin to enroll in Medicaid expansion on June 1, 2021. SoonerSelect - Oct. 1, 2021: SoonerSelect goes in effect on October 1. How does this impact medical and dental providers who see SoonerCare members? Medical and dental providers must contract with at least one of the plans to continue serving SoonerCare members (excluding those included in our aged/blind/disabled population, home and community-based waiver members, dual eligible populations and TEFRA children). |
| 4/19/21 | School-Based Contract Renewal |
Provider Types/Specialties: 12/120, 126 School-based contracts and school-based paraprofessional contracts that expire on June 30, 2021 may now be renewed via the OHCA secure provider portal. Visit the provider training page at https://oklahoma.gov/ohca/providers/provider-training.html for a how-to video on Renewing your SoonerCare Contract. |
| 4/20/21 | Dental Prior Authorization Documentation | Provider Types/Specialties: 27/270-278, 08/080 Effective immediately, all required documentation must be submitted at time of prior authorization request. Prior authorizations submitted without the required documentation will be cancelled due to insufficient documentation for comprehensive review and will no longer be electronically returned to the provider for attachment of required documentation. |
| 4/19/21 | Public Health Emergency Extension | The US Department of Health and Human Services has extended the public health emergency for 90 days. The previous extension was set to expire on April 21, 2021. The public health emergency renewal is posted at: https://www.phe.gov/emergency/news/healthactions/phe/Pages/COVID-15April2021.aspx. What does this mean for SoonerCare providers and members?
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| 4/13/21 | Managed Care (SoonerSelect) | What you need to know about managed care (SoonerSelect) OHCA is transitioning to a managed care delivery service model in partnership with four medical plan organizations and three dental plan organizations. The following SoonerCare populations will be asked to choose from one of the four health plans: children (including foster children), low-income parents, pregnant women, and adults ages 19 – 64 (expansion population). American Indian/Alaska Native members are considered voluntary and will have the option to opt-in to a managed care plan. When will SoonerSelect go into effect? Oct. 1, 2021 How does this impact providers who see SoonerCare members? Providers who serve our members that will be transitioning into managed care will need to contract with our partner plans in order to continue serving those members. Members will be able to choose which plan they will join. How can I learn more? Visit https://oklahoma.gov/ohca/about/soonerselect.html for more information on SoonerSelect. SoonerSelect Town Halls OHCA is hosting town hall meetings throughout the state to answer provider and stakeholder questions about our new managed care program, SoonerSelect. All town halls have in-person and virtual attendance options. To stay up-to-date on the latest information regarding Town Halls, visit: https://oklahoma.gov/ohca/townhall. |
| 4/12/21 | Kingfisher and Oklahoma City Town Hall Global Message | OHCA will host town hall meetings throughout the state to answer provider and stakeholder questions about our new managed care program, SoonerSelect. Please complete the below registration form if you plan to attend — either virtually or in-person — the town halls in Kingfisher or Oklahoma City. The meeting will be recorded, and a replay will be available at a later date. Register to attend here: https://oklahoma.gov/ohca/townhall.html Date and Time Kingfisher: Thursday, April 15 10:00 - 11:00 AM Oklahoma City: Monday, April 19 10:00 – 11:30 AM Location Kingfisher: Kingfisher County Fairgrounds Exhibit Building 300 South 13th St. Kingfisher, OK 73750 Oklahoma City: OKC MetroTech - South Bryant Campus 4901 South Bryant Ave. Oklahoma City, OK 73129 |
| 4/7/21 | Unlocking Implicit Bias Training | Provider Types/Specialties: All The Oklahoma Health Care Authority and the Oklahoma Department of Mental Health and Substance Abuse Services are providing Unlocking Implicit Bias Training for medical professionals on April 26, 2021 from 2-3 p.m. and April 27, 2021 from 12 - 1p.m. The link to register can be found on the provider training page at https://oklahoma.gov/ohca/providers/provider-training. |
| 4/5/21 | Poteau Town Hall |
OHCA will host town hall meetings throughout the state to answer provider and stakeholder questions about our new managed care program, SoonerSelect. Please complete the below registration form if you plan to attend — either virtually or in-person — the town hall in Poteau. The meeting will be recorded, and a replay will be available at a later date. Register to attend here: https://oklahoma.gov/ohca/townhall/poteau.html Wednesday, April 7 1:00 - 2:00 PM Location Kiamichi Technology Seminar Center 1509 S McKenna St Poteau, OK 74953 |
| 4/1/21 | OSDH Seeking Providers for COVID-19 Vaccine Administration | The Oklahoma State Department of Health is seeking interested providers to administer the COVID-19 vaccine to eligible Oklahomans. Any facility, organization, or health care provider licensed to possess vaccine, administer vaccine, or provide vaccination services in Oklahoma is eligible to enroll. Visit https://oklahoma.gov/covid19/providers/provider-enrollment-process.html for information and to enroll. |
| 4/1/21 | Insure Oklahoma Population Changes | Oklahoma’s Medicaid program, SoonerCare, currently covers only children, pregnant women, elderly adults and disabled individuals. On June 30, 2020, the Oklahoma Medicaid Expansion Initiative, State Question 802, passed to expand Medicaid eligibility to adults ages 19-64 whose income is 138% (133% with a 5% disregard) of the federal poverty level or lower. This equates to an estimated annual income of $17,796 for an individual or $36,588 for a family of four. As OHCA prepares for the expanded adult Medicaid population, the current Insure Oklahoma premium assistance program will be modified due to population changes. There are two Insure Oklahoma programs, Individual Plan (IP) and Employer Sponsored Insurance (ESI). As Oklahoma adds the expansion adult population, the ESI program will be revised to cover individuals with qualifying income from 138% to 200% of the federal poverty level starting July 1, 2021. Insure Oklahoma will continue to accept applications from small businesses who want to join the premium subsidy program. The IP members will be moved into the new expansion population. Approximately 21,000 of the currently enrolled IP and ESI members will become covered as expansion adults. As adults who are 19 through 64 years old with lower income levels are moved to expansion adult coverage, they will not pay a premium for coverage in SoonerCare. |
| 3/30/21 | Duncan Town Hall |
OHCA will host town hall meetings throughout the state to answer provider and stakeholder questions about our new managed care program, SoonerSelect. Please complete the below registration form if you plan to attend — either virtually or in-person — the town hall in Duncan. The meeting will be recorded, and a replay will be available at a later date. Register to attend here: https://oklahoma.gov/ohca/townhall/duncan.html Thursday, April 1 2:30 - 3:30 PM Location Red River Technology Center 3300 W Bois D'Arc Ave Duncan, OK 73533 |
| 3/26/2021 | Medical Authorization Using InterQual® Webinar | OHCA will be presenting a webinar titled: ‘Medical Authorization Using InterQual®’ on Thursday, April 29 at 2PM. This class covers the prior authorization (PA) submission for InterQual®-related procedures and provides resolutions to common errors within the InterQual® review. PAs related to behavioral health, dental, DME, Therapy (OT/PT/ST), pharmacy and waivers are not included. Note: This webinar will not include Managed Care Organization (MCO) changes or Medicaid Expansion. For more information about MCOs or Medicaid expansion, visit our home page and click on one of the banners toward the center of the page. Recommended Audience: Providers who submit PAs related to surgeries, procedures and high tech imaging. Register to attend the ‘Medical Authorization Using InterQual®’ on Thursday, April 29 at 2PM: https://okhca.zoom.us/webinar/register/WN_SYn0imzVQdmHaBIzTlNJ8g After registering, you will receive a confirmation email containing information about joining the webinar. |
| 3/22/2021 | SoonerSelect Town Halls |
Provider Types: All Attention Providers: Save-the-date for one of our town hall meetings to discuss the transition to managed Medicaid. Our experts will be on hand to answer all your questions, as will representatives from our chosen medical and dental partners. Please register for the event as COVID-19 guidelines will be enforced at each facility. A virtual option will be provided if you are unable to attend in-person. If you don't see your location listed, please check back as we are scheduling more locations. https://oklahoma.gov/ohca/townhall.html |
| 3/19/2021 | Portal Access Form |
Provider Types: All The Provider/Administrator Portal Access Form has been updated. This form should only be utilized by providers and provider portal administrators to obtain a temporary password, reset challenge questions, receive a new PIN letter, or receive a user ID. The new version can be viewed and utilized from the following link: https://oklahoma.gov/ohca/providers/claim-tools/claim-tools.html, including an instructional video to assist in completing the document. Providers/Administrators should complete the form electronically and send to the Provider Internet Helpdesk upon completion. Faxing the document is no longer allowed. The new document will go into effect immediately and beginning May 1, 2021 the old form will no longer be accepted. Please allow a minimum of 48 hours for completion of these requests. |
| 3/15/2021 | SoonerCare Provider and Stakeholder SoonerSelect Survey | The Oklahoma Health Care Authority, in partnership with managed care organizations, will transition to a new health care model through SoonerSelect. We understand our providers and stakeholders have many questions about managed care. OHCA will send out a survey to providers, and the survey responses will help us to create informational materials to answer your questions. We have created a Survey for Providers and Stakeholders that will help us create informational materials to answer your questions. Please click on the link above and take a few minutes to submit your survey responses. OHCA will host town hall meetings throughout the state in late March and April to answer provider and stakeholder questions. For more information about upcoming town halls, visit www.oklahoma.gov/ohca/townhall. |
| 3/12/2021 | Dental Prior Authorizations | Provider Types: Provider Types 08 (080 & 086) and 27 (271-275) This class will provide a current look at covered dental services requiring a prior authorization, the documents required for each submission, and how to submit a prior authorization on the SoonerCare Provider Portal. Note: This webinar will not include dental Managed Care Organization (MCO) changes or Medicaid Expansion. For more information, click on the banner from the homepage. Recommended Audience:Dentists, Orthodontists, Administrative Staff Register to attend the ‘Dental Prior Authorizations’ on Wednesday, April 7 at 2PM: https://okhca.zoom.us/webinar/register/WN_BoRfB8nhTXSYenv79glJog After registering, you will receive a confirmation email containing information about joining the webinar. |
| 3/9/2021 | Hospital Contracts Expiring |
Provider Types: 01 - Hospitals Hospital contracts expire on March 31, 2021. To avoid any delay in reimbursement, we encourage hospitals to submit their renewals as soon as possible. If you have any questions, please contact provider enrollment at 800-522-0114, option 5, or email ProviderEnrollment@okhca.org. |
| 3/3/2021 | COVID-19 Monoclonal Antibodies | Provider types: All
If you have any questions, please call the OHCA provider helpline at 800-522-0114. |
| 3/2/2021 | Covid-19 related Private Duty Nursing (PDN) Overtime claims subject to timely filing | Provider Types/Specialties: 05, 16, 50, 51, 163 As previously announced in a 5/29/2020 global message, effective March 1, 2020 and for the duration of the COVID-19 public health emergency, private duty nursing (PDN) providers may submit claims to receive a higher rate of pay for PDN hours that result in overtime rate of pay for nursing staff. Only PDN services for persons with tracheostomies or who are ventilator dependent are qualified for the overtime payment. Please be advised that these overtime claims are subject to standard timely filing rules.The initial claim to receive the regular rate of pay for PDN services must be filed within 6 months of the date of service, and the subsequent overtime claims for qualified private duty nursing care must be submitted within one year of the date of service. Full instructions for overtime claim submissions are contained in the 5/29/2020 global message titled “Private Duty Nursing Overtime Rate, COVID-19 related.” Questions may be directed to Carolyn Reconnu-Shoffner, Director, Population Care Management, at 405-522-7630, or Kim Downing, Care Management Supervisor, at 405-857-2364. |
| 3/1/2021 | COVID-19 Vaccine Coverage Update |
Provider Types: All OHCA has opened coverage for the following COVID-19 vaccines and administration when used in accordance with the emergency use authorization (EUA) from the FDA: 91300 – Pfizer BioNtech COVID-19 vaccine (effective date 12/11/2020)
91301 – Moderna COVID-19 vaccine (effective date 12/18/2020)
91303 – Janssen (Johnson & Johnson) COVID-19 vaccine (effective date 2/28/2021)
OHCA is still awaiting approval from CMS for pharmacies to administer the vaccine and be reimbursed. |
| 2/25/2021 | Introduction to SoonerCare - Part Three |
Provider Types: All OHCA will be presenting a webinar titled “Introduction to SoonerCare – Part Three (Coverage & Exclusions)” on Thursday, March 25 at 2 p.m. This class is part three of a series titled “Introduction to SoonerCare”. Attendees will learn more about the services available with basic Medicaid coverage for both adults and children, as well as exclusions and limitations. Coverage for waiver programs, including Advantage and Home and Community Based Waiver Services, will not be part of this webinar. Recommended Audience: New Oklahoma Medicaid providers and staff. Register to attend the “Introduction to SoonerCare – Part Three (Coverage & Exclusions)” webinar on Thursday, March 25 at 2 p.m. using the link below. https://okhca.zoom.us/webinar/register/WN_CmwkufzmQIGvA7gGBOQiiQ After registering, you will receive a confirmation email containing information about joining the webinar. |
| 2/23/2021 | Nursing Facility Pay for Performance (PFP) Payment Update | Provider Types/Specialties: 03/30, 35 SFY2021 Third Quarter PFP payment will be made on Feb. 24, 2021. We thank you for your continued service to SoonerCare members. |
| 2/23/2021 | Introduction to SoonerCare - Part Two |
Provider Types: All OHCA will be presenting a webinar titled Introduction to SoonerCare – Part Two (Programs) on Thursday, March 11, 2021 at 2 p.m. This class is part two of a series titled Introduction to SoonerCare. Attendees will learn more about the various Oklahoma Medicaid member benefits and programs. Demonstrations will be provided on how these plans appear on the provider portal when conducting an eligibility search. Recommended Audience: New Oklahoma Medicaid providers and staff. Register to attend the Introduction to SoonerCare – Part Two (Programs) webinar on March 11, 2021 at 2 p.m. https://okhca.zoom.us/webinar/register/WN_rMuCD70GSBCsgDUiY3Muxg After registering, you will receive a confirmation email containing information about joining the webinar. |
| 2/2/2021 | Electronic Submissions for PASRR Level I and Level II | Provider Types/Specialties: 03/030 Effective March 1, 2021, the Oklahoma Healthcare Authority (OHCA) will only be accepting electronic submissions for PASRR Level I (LTC-300R) and Level II. It will be the responsibility of the nursing facility or provider to submit the Level I and Level II in a timely manner. Phone calls to OHCA Psych/ID analysts should be reserved for questions such as, but not limited to, 30 day exempted hospital discharges that are about to lapse and require a Level II PASRR, seven-day emergency PASRR requests, PASRR policy, questions about quarantine due to COVID-19 and Level I corrections. Please contact the OHCA internet help desk at 800-522-0114, select option 1 for provider, enter your provider number, select option 2 for the internet helpdesk and then notify them that you have experienced a technical issue while submitting your PASRR Level I (LTC300R) electronic form. For questions concerning the PASRR Level II electronic submission form, please contact the behavioral health unit at 405-522-7597, select option 1 for provider, option 6 for prior authorizations and option 2 to reach inpatient behavioral health. The PASRR Level II electronic form is located at https://oklahoma.gov/ohca/providers/types/behavioral-health-and-substance-abuse-services/behavioral-health-and-substance-abuse-services.html, under templates/forms. Please note: Your provider number was given to you upon contracting with OHCA. Please contact your business office to obtain a copy of this if you do not have it. After you select option 1 for provider, please be sure to listen to the recording completely as it will tell you how to enter the alphabetical letter at the end of your provider number. |
| 1/26/2021 | Introduction to SoonerCare - Part One |
Provider Types: All OHCA will be presenting a webinar titled: Introduction to SoonerCare – Part One (Medicaid Eligibility & Verification) on Thursday, Feb. 25 at 2 p.m. This class is part one of a multi-series of Introduction to SoonerCare. It will provide an in-depth look at the eligibility process, qualifications and verification for Oklahoma Medicaid members. Claims and HMS third party liability discussions will not be included in this session. Recommended Audience: New Oklahoma Medicaid providers and staff. Register to attend the Introduction to SoonerCare – Part One (Medicaid Eligibility & Verification) webinar on Thursday, Feb. 25 at 2 p.m.: https://okhca.zoom.us/webinar/register/WN_1B8L-CkyTlqwlBZvxF6V2A After registering, you will receive a confirmation email containing information about joining the webinar. |
| 1/21/2021 | Anterior and Posterior Root Canal Prior Authorizations | Provider Types / Specialties: 270-275, 080 According to OHCA policy OAC 317:30-5-696(J)iii, prior authorization is required for members who have a treatment plan requiring more than two (2) anterior and/or any posterior root canals. Two (2) or fewer anterior and/or posterior root canals within a twelve month period, will not require prior authorization. |
| 1/20/21 | Hospital Addendum for Psych and Rehab Units | Numeric Provider Types: 01 Numeric Provider Specialties: Global Message Body: Hospital providers who wish to bill for services provided in a psychiatric or rehabilitation unit must do so using a separate provider number by completing an addendum to their hospital contract. The addendum to hospital contracts for psych and rehab units can now be accessed online at https://oklahoma.gov/ohca/providers/provider-enrollment.html. |
| 1/19/20 |
Therapy Assistant Enrollment | PV Specialties: 087, 120, 126, 145, 170, 171, 173, 174, 175, 179, 182 In regard to provider letter 2021-02, therapy assistants may now enroll at https://oklahoma.gov/ohca/providers/provider-enrollment.html. The agency has extended the deadline to April 1, 2021 for all enrollments to be submitted. During this time, billing under the licensed therapist is still permitted if needed. If you have any questions, please call the OHCA provider helpline at 800-522-0114. |
| 1/15/21 | Public Health Emergency Extension | The US Dept. of Health and Human Services has extended the public health emergency through April 21, 2021. The public health emergency renewal is posted at: https://www.phe.gov/emergency/news/healthactions/phe/Pages/covid19-07Jan2021.aspx. What does this mean for SoonerCare providers and members?
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| 1/12/21 | Provider Letter 2021-02 | PV Specialties: 087, 120, 126, 145, 170, 171, 173, 174, 175, 179, 182 Provider letter 2021-02 informs providers about the reimbursement for the coverage of services that are rendered by physical therapy, occupational therapy, speech-language pathology therapy assistants and speech-language pathology clinical fellows. Please post all comments by close of business Monday, Feb. 8, 2021, via the Oklahoma Health Care Authority policy change blog. Thank you. |
| 1/12/21 | Provider Letter 2021-01 | PV Specialties: 634 Provider letter 2021-01 informs providers about coverage for adults in a psychiatric hospital. Please post all comments by close of business Monday, Feb. 8, 2021, via the Oklahoma Health Care Authority policy change blog. Thank you. |
| 1/5/21 | ADA Dental Claim Submission |
Provider Types: 08, 27 Specialty Types: 086, 270-279 OHCA will be presenting a webinar titled ADA Dental Claim Submission on Thursday, February 4 at 2 p.m. This class will provide an in-depth look at the electronic ADA dental claims submission on the secure provider portal. Attendees will learn more about the policy and procedures of submitting Medicaid primary and Medicaid secondary claims. General coding for services will not be addressed in this presentation. Recommended Audience: Billing staff who submit ADA dental claims. Register to attend the ADA Dental Claim Submission on February 4 at 2 p.m. Click Here to Register After registering, you will receive a confirmation email containing information about joining the webinar. |
| 1/4/21 | C-Section Rate Letters |
Provider Types: 01, 08, 31, 52 The year-end C-section rate letters for state fiscal year 2020 are now available through the OHCA Provider Portal. As a reminder, these C-section letters are now only available electronically. If you need help to retrieve your letters, please call 800-522-0114. You may also view the C-section rate release schedule on the OHCA webpage at www.okhca.org/c-section. Thank you. Hospital Addendum for Psych and Rehab Units |
