2020-18 |
Prior Authorization of Dextenza, Iluvien, and Ozurdex |
12/3/20 |
2020-16 |
Important Information Regarding Comprehensive Orthodontic Claims |
12/3/20 |
2020-15 |
Comprehensive Orthodontic Treatment for Children beyond 36 Months |
11/17/20 |
2020-14 |
Indian Health Services, Tribal Programs and Urban Indian Clinics Obstetrical Services Revisions |
8/19/20 |
2020-13 |
Developmental Disabilities Services Updates |
8/19/20 |
2020-12 |
ADvantage Waiver Updates |
8/19/20 |
2020-11 |
Inpatient Psychiatric Services and Service Quality Review Revisions |
8/19/20 |
2020-10 |
Dental Program Revisions and Updates |
8/19/20 |
2020-09 |
OHCA Program Updates |
8/19/20 |
2020-08 |
OHCA Program Updates |
8/19/20 |
2020-07 |
OHCA Program Updates |
8/19/20 |
2020-06 |
OHCA Program Updates |
8/19/20 |
2020-05 |
OHCA Program Updates |
8/19/20 |
2020-04 |
High-Investment Drug Therapy Carve-Out for Inpatient and Outpatient Hospital Payment |
7/21/20 |
2020-03 |
Prior Authorization for Lumoxiti |
7/21/20 |
2020-02 |
Prior Authorization for Soliris |
3/30/20 |
2019-24 |
Prior Authorization for Molecular Pathology CPT Codes |
12/3/19 |
2019-23 |
Continuous Glucose Monitoring |
11/18/19 |
2019-22 |
Coverage of OB and Family Practice for HROB Services without MFM Consultation |
10/23/19 |
2019-21 |
Testosterone Replacement Therapy Prior Authorization |
9/24/19 |
2019-20 |
Prior Authorization of Medications Used to Treat Lymphoma |
9/17/19 |
2019-19 |
New Out-of-State Services Rules and Supportive Processes |
9/10/19 |
2019-18 |
Prior Authorization of Naglazyme (galsulfase) and Aldurazyme (laronidase) |
9/3/19 |
2019-17 |
No PA Requirement for Psychiatric or Medical Detox Services Received in a Non-Psychiatric Unit of a Hospital |
9/9/19 |
2019-16 |
Clarification of Laboratory Services Policy Changes |
8/13/19 |
2019-15 |
Developmental Disabilities Services Updates |
7/31/19 |
2019-14 |
ADvantage Program Updates |
7/31/19 |
2019-13 |
Inpatient Behavioral Health Updates |
7/31/19 |
2019-12 |
OHCA Program Updates |
7/31/19 |
2019-11 |
OHCA Program Updates |
7/31/19 |
2019-10 |
OHCA Program Updates |
7/31/19 |
2019-09 |
OHCA Program Updates |
7/31/19 |
2019-08 |
Prior Authorization Changes for Medication Assisted Treatment |
7/24/19 |
2019-07 |
Provider Contract Backdating |
7/16/19 |
2019-06 |
Change in Billing for Supprelin® LA |
5/29/19 |
2019-05 |
PRTF post intervention debriefing requirements for members under the age of 21 |
5/10/19 |
2019-04 |
A New Free Medication Management Program for SoonerCare Members on Multiple Medications |
4/10/19 |
2019-03 |
Prior Authorization of Krystexxa® (pegloticase) and Signifor® LAR (pasireotide) |
2/4/19 |
2019-02 |
Yearly Compliance with the Deficit Reduction Act of 2005 |
1/25/19 |
2019-01 |
Laboratory and Diagnostic Testing |
1/25/19 |
2018-26 |
Policy Revision for EPSDT Screenings |
12/11/18 |
2018-25 |
Billing Professional Fees for Adults Age 21-64 Being Served in a Psychiatric Hospital Setting |
10/9/18 |
2018-24 |
Acute Inpatient Psychiatric Services PA Requirements for Adults |
9/12/18 |
2018-23 |
Removal of Prior Authorization of Orbactiv |
9/4/18 |
2018-22 |
School Based Revisions |
8/15/18 |
2018-21 |
OHCA Program Updates |
8/15/18 |
2018-20 |
OHCA Program Updates |
8/15/18 |
2018-19 |
OHCA Program Updates |
8/15/18 |
2018-18 |
Pharmacy Updates |
8/15/18 |
2018-17 |
DDS Program Updates |
8/15/18 |
2018-16 |
ADvantage Waiver Services Policy Changes – Effective September 14, 2018 |
8/15/18 |
2018-15 |
Inpatient Behavioral Health Updates |
8/15/18 |
2018-14 |
Outpatient Behavioral Health Updates |
8/15/18 |
2018-13 |
ITU Revenue Codes |
7/30/18 |
2018-12 |
Prior Authorization for Gene Expression Profiling CPT Code |
6/26/18 |
2018-11 |
Yearly Compliance with the Deficit Reduction Act of 2005 |
6/19/18 |
2018-10 |
Prior Authorization of Medications Used to Treat Chronic Lymphocytic Leukemia – Effective July 12, 2018 |
6/6/18 |
2018-09 |
Prior Authorization for Otiprio - Effective June 11, 2018 |
5/8/18 |
2018-08 |
Prenatal Vitamins |
4/25/18 |
2018-07 |
Decrease Rate for APC Group 5164 |
4/24/18 |
2018-06 |
Increase in Dental Procedure Code |
4/24/18 |
2018-05 |
Provider Enrollment-Renewal Application Fees |
4/5/18 |
2018-04 |
Prior Authorization for Microarray CPT Codes – Effective May 1, 2018 |
3/22/18 |
2018-02 |
Billing Professional Fees |
2/27/18 |
2018-01 |
Prior Authorization of Medications to Treat Leukemia |
1/12/18 |
2017-37 |
Yearly Compliance with the Deficit Reduction Act of 2005 |
11/28/17 |
2017-36 |
Immunization Vaccine Recommendations for Pregnant Women |
12/18/17 |
2017-35 |
Interqual Prior Authorization Implementation Knee and Hip Arthroplasty |
5/8/18 |
2017-34 |
Prior Authorization for Vimizim (Elosulfase Alfa) and Fabrazyme (Agalsidase Beta) |
11/6/17 |
2017-33 |
OHCA Program Updates |
11/6/17 |
2017-32 |
Ventricular Assist Device Implantation - Effective December 1, 2017 |
10/19/17 |
2017-31 |
Non Billable Speech Therapy Services - Effective October 15, 2017 |
10/5/17 |
2017-30 |
Prior Authorization for Cystic Fibrosis CPT Code – Effective October 1, 2017 |
9/18/17 |
2017-29 |
Pharmacy Revisions for Optional Non-Prescription Products and Compounded Prescriptions |
9/18/17 |
2017-28 |
Prior Authorization of Medications Used to Treat Lung Cancer |
8/31/17 |
2017-27 |
Prior Authorization for Lumizyme, Elaprase, Aralast, Glassia, Prolastin-C, and Zemaira |
8/15/17 |
2017-26 |
Important Changes to Signature Requirements - Effective September 1, 2017 |
7/31/17 |
2017-25 |
Revised Guidance for Face to Face Requirements for Home Health Services |
7/31/17 |
2017-24 |
Molecular Pathology Prior Authorization – Effective September 1, 2017 |
7/31/17 |
2017-23 |
Member Identification Cards - Effective November 1, 2017 |
9/7/17 |
2017-22 |
TEFRA Updates |
8/2/17 |
2017-21 |
ITU and FQHC Policy Updates |
8/2/17 |
2017-20 |
ADvantage Waiver Services Policy Changes – Effective September 1, 2017 |
8/2/17 |
2017-19 |
Developmental Disabilities Services Policy Changes |
8/2/17 |
2017-18 |
Behavioral Health Updates |
8/2/17 |
2017-17 |
Inpatient Behavioral Health Updates |
8/2/17 |
2017-16 |
Therapeutic Foster Care Updates |
7/31/17 |
2017-15 |
Dental Updates |
7/31/17 |
2017-14 |
OHCA Program Updates |
7/31/17 |
2017-13 |
OHCA Program Updates |
7/31/17 |
2017-12 |
Prior Authorization of CPT Codes 95950 95953 and 95956 - Effective August 1 2017 |
7/20/17 |
2017-11 |
Anesthesia Reimbursement Methodology |
7/18/17 |
2017-10 |
Prior Authorization of 95951 and Medical Review for 95957 |
9/7/17 |
2017-09 |
Important Changes to the Referral Process |
5/18/17 |
2017-08 |
Cinqair and Kanuma Prior Authorization |
4/19/17 |
2017-07 |
Prior Authorization Required Process Change - Effective July 1 2017 |
4/7/17 |
2017-06 |
Revision of HLD Index of Malocclusion |
4/17/17 |
2017-04 |
Prior Authorization of Medications Used to Treat Skin Cancer |
3/10/17 |
2017-03 |
Emergency Ground Ambulance Coverage for Insure Oklahoma |
2/8/17 |
2017-02 |
Immunization Vaccine Recommendations for Pregnant Women |
1/6/17 |
2017-02 |
Emergency Ground Ambulance Coverage for Insure Oklahoma |
2/28/17 |
2017-01 |
Perinatal Dental Coverage for Insure Oklahoma |
1/5/17 |
2016-31 |
Important Coding and Reporting Changes to SCC Behavioral Health Screening |
12/16/16 |
2016-30 |
Removal of Prior Authorization of Neulasta |
10/21/16 |
2016-29 |
Prior Authorization Required Process Change |
9/30/16 |
2016-28 |
Prior Authorization of Medications Used to Treat Prostate Cancer |
9/30/16 |
2016-26 |
Prior Authorization for Definitive Urine Drug Testing |
8/31/16 |
2016-25 |
Ordering Referring Rendering Provider |
8/16/16 |
2016-24 |
Face to Face Requirements for Home Health Services |
8/23/16 |
2016-23 |
Inpatient Behavioral Health Updates |
7/29/16 |
2016-22 |
Therapeutic Foster Care Updates |
7/29/16 |
2016-21 |
Prior Authorization of Molecular Pathology CPT Codes Related to Hereditary Cancer Susceptibility Testing |
7/28/16 |
2016-20 |
Obstetrical Services Revisions |
7/25/16 |
2016-19 |
Independent Diagnostic Testing Facilities |
7/29/16 |
2016-18 |
Urine Drug Screening Updates |
7/29/16 |
2016-17 |
Optical Supplies Revisions |
8/1/16 |
2016-16 |
OHCA Program Updates |
7/29/16 |
2016-15 |
OHCA Program Updates |
7/29/16 |
2016-14 |
Eligibility Updates |
7/29/16 |
2016-13 |
Behavioral Health Updates |
7/29/16 |
2016-12 |
OHCA Program Updates |
7/29/16 |
2016-11 |
OHCA Pharmacy Updates |
7/29/16 |
2016-10 |
OHCA Program Updates |
7/29/16 |
2016-09 |
Dental Program Updates |
7/29/16 |
2016-08 |
Makena and Vaginal Progesterone |
7/6/16 |
2016-07 |
Virtual Visit Codes |
3/28/16 |
2016-06 |
Prior Authorization of Neulasta, Granix, and Zarxio |
3/16/16 |
2016-05 |
RE Newly Activated Dental Codes |
4/25/16 |
2016-04 |
Prior Authorization of Medications Used to Treat Breast Cancer |
2/3/16 |
2016-03 |
Yearly Compliance with the Deficit Reduction Act of 2005 |
1/28/16 |
2016-02 |
Non-Invasive Prenatal Testing |
1/6/16 |
2016-01 |
Controlled Substance Monitoring and Drugs of Abuse Testing |
1/5/16 |
2015-27 |
RE Prior Authorization of New 2016 Molecular Pathology Codes |
12/2/15 |
2015-26 |
RE Immunizations-Vaccine Recommendations for Pregnant Women |
12/4/15 |
2015-25 |
RE - SoonerCare Choice Behavioral Health Screening |
12/14/15 |
2015-24 |
Multiple Procedure Modifier Usage and Editing-Effective December 1, 2015 |
11/2/15 |
2015-23 |
RE Coverage of Obstetricians for High Risk Obstetrical Services without Maternal Fetal Medicine Consultation—Effective September 1, 2015 |
11/2/15 |
2015-21 |
Molecular Pathology PA Changes |
9/30/15 |
2015-20 |
Changes to Vision Codes V2782 and V2783—Effective November 1, 2015 |
9/30/15 |
2015-19 |
RE Electronic Referrals for Claims Processing - Effective 11-1-15 FINAL |
8/31/15 |
2015-18 |
RE Incontinence Supplies—Effective July 1, 2015 |
8/31/15 |
2015-17 |
RE Policy Revisions and Program Updates FINAL |
7/30/15 |
2015-16 |
RE Policy Revisions and Program Updates FINAL |
7/30/15 |
2015-15 |
RE Policy Revisions and Program Updates FINAL |
7/30/15 |
2015-14 |
RE Policy Changes due to Federal Mandate FINAL |
7/30/15 |
2015-13 |
RE Behavioral Health Policy Updates FINAL |
7/30/15 |
2015-12 |
RE Policy Revisions and Program Updates FINAL |
7/30/15 |
=HYPERLINK("/content/dam/ok/en/okhca/documents/2015-11-re-molecular-cytogenetic-code-changes-effective-august-1,-2015-final.pdf","2015-11") |
RE Molecular Cytogenetic Code Changes-Effective August 1, 2015 FINAL |
7/30/15 |
2015-10 |
Mirena® and Liletta® Billing Procedure |
7/7/15 |
2015-09 |
Budget Reduction Policy Changes |
7/2/15 |
2015-08 |
RE eviCore New Services 8-1-15 |
7/15/15 |
2015-07 |
RE Non-Invasive Ventilators and COPD |
7/15/15 |
2015-06 |
Clarification of Provider Letter OHCA 2014-36... |
4/30/15 |
2015-05 |
Suspension of Facility Requirement for PA of ... |
4/30/15 |
2015-04 |
School-Based Services Policy Changes |
3/9/15 |
2015-03 |
Electroconvulsive Therapy Services Prior Authorization—Effective January 26, 2015 |
3/13/15 |
2015-02 |
Patient-Centered Medical Home Audit Updates |
2/11/15 |
2015-01 |
Yearly Compliance with the Deficit Reduction ... |
1/16/15 |
2014-67 |
Application of Topical Fluoride Varnish CPT Code 99188 |
1/27/15 |
2014-66 |
Deficit Reduction Act |
1/29/15 |
2014-65 |
Spinal Fusion Surgical Procedures andor Discectomy Procedures, Effective January 1, 2015 |
1/7/15 |
2014-63 |
RE Additional OrderingReferring Provider Now Required On Claims |
1/7/15 |
2014-62 |
RE Nexplanon CoverageEffective February 1 2015 |
1/7/15 |
2014-60 |
Outpatient BH Agencies Accreditation Requirement... |
12/3/14 |
2014-59 |
RE Mileage Reporting Changes |
11/24/14 |
2014-57 |
RE Telemedicine Services FINAL |
11/21/14 |
2014-56 |
RE DMEPOS Repair Process Change |
11/20/14 |
2014-55 |
Opioid Quantity Limit FINAL |
11/21/14 |
2014-54 |
RE Synagis® New AAP Guidelines and OHCA PA Process FINAL |
10/21/14 |
2014-53 |
Rate Change for A4264 |
11/24/14 |
2014-52 |
Removal of Certain Tobacco Cessation Prior Authorization and Co-Pays—Effective September 1, 2014 FINAL |
10/22/14 |
2014-50 |
Prepayment Review FINAL |
9/10/14 |
2014-48 |
Home Health Policy |
9/24/14 |
2014-47 |
Eyeglasses Limitations |
7/23/14 |
2014-45 |
Spinal Fusion Surgical Procedures PA Requirement |
7/23/14 |
2014-44 |
Electronic Provider Communication |
9/10/14 |
2014-43 |
LARC Final |
8/18/14 |
2014-42 |
Budget Reduction Policy Changes Final amended |
10/16/14 |
2014-42 |
Budget Reduction Policy Changes |
7/7/14 |
2014-41 |
Therapeutic Foster Care Policy Changes Final |
8/14/14 |
2014-40 |
Outpatient Behavioral Health Policy Changes Final |
8/14/14 |
2014-39 |
Case Manager and BHR Specialist Qualifications FINAL |
6/26/14 |
2014-38 |
Sleep Study Prior Authorization |
7/14/14 |
2014-37 |
Allergy Testing |
7/14/14 |
2014-36 |
Urine Drug Screening – Effective August 1, 2014 |
7/24/14 |
2014-35 |
Cranial Molding Helmets |
6/26/14 |
2014-34 |
Genetic Testing Policy Changes Final |
8/14/14 |
2014-33 |
Insure Oklahoma Policy Changes Final |
8/14/14 |
2014-32 |
Inpatient Psychiatric Policy Changes Final |
8/14/14 |
2014-31 |
School Based Services Policy Changes Final |
8/14/14 |
2014-30 |
Administrative and Billing Policy Changes Final |
8/14/14 |
2014-29 |
Waivers, PACE, HAN Policy Changes FINAL |
8/14/14 |
2014-28 |
Tobacco Cessation Counseling Policy Changes Final |
8/14/14 |
2014-27 |
Pharmacy Policy Changes Final |
8/14/14 |
2014-26 |
Nusing Home Policy Changes Final |
8/14/14 |
2014-25 |
Hospital Policy Changes Final |
8/14/14 |
2014-24 |
Tuberculosis Policy Clarification Final |
8/14/14 |
2014-23 |
Revisions to DME Rules Final |
8/14/14 |
2014-22 |
Revisions to SoonerCare Dental Final |
8/14/14 |
2014-20 |
Blood Glucose Supplies |
7/14/14 |
2014-19 |
MSRP FINAL |
9/2/14 |
2014-18 |
Molecular Pathology PA Final |
6/26/14 |
2014-17 |
Oxygen Prior Authorization Guidelines |
7/14/14 |
2014-16 |
Cranial Molding Helmets Final |
5/28/14 |
2014-14 |
Child Health Guide Letter to Schools |
5/29/14 |
2014-09 |
Viscosupplementation Coverage |
4/1/14 |
2014-08 |
Outpatient Hospital Facilities Prior Authorization Requirements |
4/21/14 |
2014-07 |
ESI Dental |
4/21/14 |
2014-06 |
Living Choice Program Alternative Funds |
2/26/14 |
2014-05 |
Living Choice Program Transitional Funds |
2/26/14 |
2014-03 |
Dual Eligible Hospital EHR Payment Letter |
2/4/14 |
2014-02 |
Living Choice Program Update Letter |
2/5/14 |
2014-01 |
DRA-FFY-13 |
1/24/14 |
2013-51 |
Transitional Funds |
1/15/14 |
2013-50 |
Alternative Funds |
1/15/14 |
2013-49 |
Provider Letter New Provider Portal |
12/30/13 |
2013-48 |
Botulinum Toxin Products |
12/13/13 |
2013-47 |
Orthodontic Program Expectations Agreement |
12/13/13 |
2013-46 |
Dispensing Fees Reimbursement For Spectacles In Frames |
12/13/13 |
2013-45 |
In-Outpatient Billing Clarification |
1/15/14 |
2013-44 |
Ordering-Referring Provider Now Required On Some Claims |
11/6/13 |
2013-43 |
Tysabri® (Natalizumab) Coverage |
10/30/13 |
2013-42 |
Training Opportunities For Smoking Cessation For Pregnant Women |
10/21/13 |
2013-41 |
SoonerCare Choice Behavioral Health Screening |
10/28/13 |
2013-40 |
Reimbursement Code For Application Of Fluoride Varnish |
9/10/13 |
2013-39 |
Change To Soon-To-Be-Sooners Benefit |
9/10/13 |
2013-38 |
Changes For Speech And Language Pathology (SLP) Prior Authorizations |
9/10/13 |
2013-37 |
Clarification For Compliance With The Long-Term Care Security Act |
9/10/13 |
2013-36 |
Provider Rate Increases For LTCWO Living Choice And Waiver Services |
7/25/13 |
2013-35 |
Inpatient Behavioral Health Policy Changes |
7/10/13 |
2013-34 |
Changes To Case Manager Behavioral Health Rehabilitation Specialist Qualifications |
8/6/13 |
2013-33 |
Revision Of Community Spouse Allowance For HCBS Services |
7/25/13 |
2013-32 |
Revisions To Waiver Services |
7/25/13 |
2013-31 |
Revisions To Vaccine Administration Policy |
7/10/13 |
2013-30 |
Revisions To SoonerRide Policy And Emergency Ambulance Transports |
7/10/13 |
2013-29 |
Revisions For Nurse Midwives And Birthing Center Services |
7/10/13 |
2013-28 |
Revisions To Insure Oklahoma's Outpatient Behavioral Health Services |
7/10/13 |
2013-27 |
Revisions To SHOPP Overpayment And Recoupment Procedures |
7/10/13 |
2013-26 |
Amendments To Genetic Testing And Counseling Policy |
7/10/13 |
2013-25 |
Revisions To SoonerCare Dental And Orthodontic Rules |
7/10/13 |
2013-24 |
Outpatient Behavior Health Rule Changes |
7/10/13 |
2013-23 |
Electronic Health Records Updates And Telemedicine Revisions |
7/10/13 |
2013-22 |
Administrative, Nursing Facilities And Long Term Care Rule Changes |
7/10/13 |
2013-21 |
Cost Report Letter SFY 2013 |
7/10/13 |
2013-20 |
Clarification Of Adult Emergency Extraction |
6/27/13 |
2013-19 |
Changes In Operations Processes For Waiver Programs |
6/27/13 |
2013-17 |
Billing Requirements For Gardasil |
5/15/13 |
2013-14 |
Clarification On Reimbursement For Ambulance Services |
5/15/13 |
2013-13 |
Clarification On Oklahoma Cares Application Process |
4/3/13 |
2013-12 |
Botox Coverage And Prior Authorization |
4/10/13 |
2013-09 |
Req For Referrals For OT And PT Evaluations And Subsequent Intervention Visits |
2/14/13 |
2013-08 |
Skilled Nursing Facility Part-A Medicare Crossover Claims And The Miller Trust |
2/14/13 |
2013-07 |
Provider Rate Increases For OLL Living Choice And Waiver Services |
2/14/13 |
2013-05 |
Requirement For Referrals For Speech Therapy Evaluations And Therapy Sessions |
2/14/13 |
2013-04 |
Follow Up To Provider Letter 2012-48 |
1/29/13 |
2013-03 |
Increased Medicaid Payment For Primary Care |
5/28/13 |
2013-02 |
New OHCA Call Center Vendor |
1/29/13 |
2013-01 |
Yearly Compliance With The Deficit Reduction Act Of 2005 |
1/24/13 |
2012-48 |
Changes to the CPT Codes for Psychiatry and Psychotherapy Services |
12/20/12 |
2012-47 |
Molecular Pathology CPT Coding Changes and Prior Authorization_final |
7/24/18 |
2012-46 |
Flu Vaccines for Pregnant Members |
12/11/12 |
2012-45 |
Provider Rate Increase for OLL, Living Choice, and Waiver Services |
11/26/12 |
2012-44 |
Therapy Services Provided By Qualified SoonerCare Providers |
11/28/12 |
2012-43 |
Telemedicine Authorized Originating and Distant Site Providers |
11/9/12 |
2012-42 |
MS Drug Therapy, Testosterone Replacement Therapy, and Soliris Prior Authorization |
9/26/12 |
2012-41 |
Hydroxyprogesterone Caproate Injections |
9/11/12 |
2012-40 |
IOC Of Psychiatric Facilities Providing Services to Members Under 21 Years |
10/29/12 |
2012-39 |
TFC Recoupment Methodology Changes |
8/14/12 |
2012-38 |
Federal Anti-Kickback Law Mandatory Compliance |
8/6/12 |
2012-35 |
OPBH Accreditation Renewal Letter |
7/6/12 |
2012-34 |
SFY 2012 Cost Report |
7/10/12 |
2012-33 |
ESRD Facility l Rule Revisions |
6/28/12 |
2012-32 |
Dental Coverage for Insure Oklahoma Children |
6/26/12 |
2012-31 |
SoonerCare Lodging And-Or Meals Assistance |
6/14/12 |
2012-30 |
Change In PA Process For Outpatient-Physician Administered Drugs |
6/14/12 |
2012-29 |
ICF-MR Approval Procedures And Additional Information |
5/31/12 |
2012-28 |
Prospective Payment System Reimbursement For FQHCs |
5/10/12 |
2012-23 |
School-Based Services |
6/14/12 |
2012-22 |
SoonerCare Rule Revision For OSDH, OKDHS, and IHS |
6/14/12 |
2012-21 |
Hospital Rule Revisions |
6/28/12 |
2012-20 |
Durable Medical Equipment |
6/14/12 |
2019-19 |
Insure Oklahoma Rule Changes |
7/25/12 |
2012-18 |
Physician Rule Revisions |
7/24/12 |
2012-17 |
Dental Policy Rule Revisions |
6/14/12 |
2012-16 |
PT-OT-ST Rule Revisions |
6/28/12 |
2012-15 |
Inappropriate Payment Education |
7/25/12 |
2012-14 |
OKDMERP Prior Authorizaion Process |
4/23/12 |
2012-13 |
Provider Suspension of Payments and Provider Enrollment Verification |
3/26/12 |
2012-12 |
Multiple Co-Pays For Outpatient Hospital Visit |
3/21/12 |
2012-11 |
ESA Prior Authorization Criteria |
3/20/12 |
2012-10 |
Use Of Physicians For Children Inpatient Psychiatric Hospital And PRTFs Services |
3/20/12 |
2012-09 |
Prior Authorization Requests For Physical And Occupational Therapy |
3/12/12 |
2012-08 |
Notification of BH Utilization Monitoring |
2/15/12 |
2012-07 |
Documents For SoonerCare Lodging And-Or Meals Assistance |
3/6/12 |
2012-06 |
Change In Medical Coverage For Certain Biologic Drugs |
2/13/12 |
2012-04 |
Provider Education Upcoding |
7/5/12 |
2012-03 |
DRA Compliance Provider Letter |
2/1/12 |
2012-01 |
SoonerCare Online Enrollment Survey |
1/31/12 |
2011-65 |
Telephonic Review Prior Authorization For All Inpatient And TFC Services |
12/21/11 |
2011-64 |
Change of Form for Monthly Quality of Care Report |
1/24/12 |
2011-63 |
Vaccines For Pregnant Women Younger Than 19 Years Of Age |
1/25/12 |
2011-62 |
Behavioral Health Prior Authorization Requests Prior to Sept. 26 2011 |
1/4/12 |
2011-61 |
Behavioral Health Vendor Change |
11/30/11 |
2011-59 |
Clarification On CMS Statement To Delay Enforcing 5010 Compliance |
12/2/11 |
2011-56 |
New Federal Regulations (Enrollment fee) |
12/21/11 |
2011-55 |
Synagis Therapy Care Coordination |
12/1/11 |
2011-54 |
High Risk Ultrasound Coverage |
12/1/11 |
2011-53 |
Maternity Co-Pay Change |
10/13/11 |
2011-52 |
Primary And Preventive Services Limited To Within The Medical Home |
10/5/11 |
2011-50 |
Claim Filing Instructions (Long Term Care Facilities) |
10/26/11 |
2011-49 |
IO VFC |
9/14/11 |
2011-48 |
Family Planning Waiver To State Plan |
9/8/11 |
2011-45 |
NCCI And LBHP |
8/16/11 |
2011-40 |
Hydroxyprogesterone Injection |
9/8/11 |
2011-39 |
External Quality Review Organization |
7/6/11 |
2011-37 |
Native American Co-Payment |
8/29/11 |
2011-36 |
Behavioral Health Benefit For The IO Program |
7/12/11 |
2011-35 |
Sleep Diagnostic Testing Facility Contracting Requirement |
8/11/11 |
2011-34 |
Utilization Manager for SoonerCare Behavioral Health |
7/26/11 |
2011-33 |
SoonerRide Referral Letter |
7/11/11 |
2011-32 |
Fluoride Varnish |
6/27/11 |
2011-31 |
CSI Conference Letter |
6/8/11 |
2011-30 |
Personally Rendered Services |
6/23/11 |
2011-29 |
BH School Aide Services And Training Letter |
5/19/11 |
2011-28 |
Cost Report |
8/11/11 |
2011-25 |
Billing Requirements For Same Day Service Letter |
6/6/11 |
2011-24 |
Self Disclosure |
5/4/11 |
2011-23 |
PHI and NET FINAL |
7/13/18 |
2011-20 |
Pharmacy Rules Revision |
7/5/11 |
2011-19 |
Insure Oklahoma Rule Changes |
6/29/11 |
2011-17 |
Medical Review for Eligibility Determinations |
8/11/11 |
2011-16 |
Dental Policy Rule Revisions |
6/29/11 |
2011-15 |
PA Therapy Evaluation Letter |
8/11/11 |
2011-14 |
DMEPOS Rule Revisions |
6/29/11 |
2011-13 |
Physician Rules Revision |
8/11/11 |
2011-12 |
Insure Oklahoma Carrier Rule |
8/11/11 |
2011-10 |
NCCI And MUE |
3/10/11 |
2011-04 |
Insure Oklahoma Carriers |
1/25/11 |
2011-03 |
C-Section Individual |
2/16/11 |
2011-02 |
C-Section Hospital Administration |
2/16/11 |
2011-01 |
Deficit Reduction Act |
8/30/11 |
2010-63 |
Botulinum Toxin Injections |
12/28/10 |
2010-62 |
Home Infusion Therapy |
11/23/10 |
2010-61 |
IO Chamber Outreach |
11/23/10 |
2010-60 |
Drug Screen |
12/28/10 |
2010-59 |
Synagis |
11/23/10 |
2010-58 |
Hospice For Children And Adults |
11/23/10 |
2010-57 |
Tier III BHS Screening |
12/28/10 |
2010-56 |
Mastectomy |
11/23/10 |
2010-54 |
IO Dental |
11/3/10 |
2010-53 |
IO Psychiatrist PA |
10/25/10 |
2010-52 |
Signatures On Electronic Medical Records |
9/30/10 |
2010-50 |
Dental Correction Letter |
9/28/10 |
2010-49 |
Billing 96110 |
9/20/10 |
2010-48 |
Radiology Mgmt |
10/7/10 |
2010-47 |
Corrective Lenses and Frames |
8/6/10 |
2010-46 |
Native American Online Enrollment |
8/9/10 |
2010-44 |
Emergency Room Imaging |
7/29/10 |
2010-43 |
DME Accreditation |
8/12/10 |
2010-41 |
PCPs Referrals |
7/16/10 |
2010-40 |
Elimination of Consultation Codes Fee Schedule |
7/14/10 |
2010-39 |
Pharmacy Co-Pay Changes |
7/16/10 |
2010-38 |
Incontinence Supplies |
7/19/10 |
2010-37 |
Dental Program Policy Changes |
7/21/10 |
2010-35 |
Provider Correction Letter Points |
6/22/10 |
2010-34 |
Cost Letter |
6/24/10 |
2010-33 |
PRTF Tiered System |
6/29/10 |
2010-32 |
PA Requirement on ST Code 92526 |
6/14/10 |
2010-31 |
Dental Providers Fee Reduction Letter |
6/22/10 |
2010-29 |
Dual Eligibles Co-Pays |
5/4/10 |
2010-26 |
BRCA Testing Provider Letter |
5/4/10 |
2010-25 |
Promotional Poster Letter |
5/4/10 |
2010-24 |
Pharmacy Changes |
4/9/10 |
2010-23 |
Co-Pay Increase and Provider Rate Reduction |
4/9/10 |
2010-22 |
EHR Provider Incentives |
4/8/10 |
2010-21 |
Notification of Date of Service |
6/14/10 |
2010-19 |
Insure Oklahoma SoonerCare |
5/10/10 |
2010-17 |
IO Expanded Coverage Agent |
6/29/10 |
2010-16 |
IO Expanded Coverage Carriers |
6/29/10 |
2010-15 |
IO Expanded Coverage Business |
6/29/10 |
2010-14 |
Hospital Acquired Conditions |
4/9/10 |
2010-13 |
DME Changes in Reimbursement |
2/22/10 |
2010-12 |
ESRD Crossover Claims |
2/22/10 |
2010-11 |
Observation-Treatment Clarification |
2/22/10 |
2010-10 |
End Dating Case Management Contracts |
2/12/10 |
2010-09 |
Diabetes Education |
2/12/10 |
2010-08 |
LBHP Billing for Insure Oklahoma Members |
1/19/10 |
2010-07 |
PT and OT policy changes |
2/12/10 |
2010-06 |
Online Enrollment |
7/12/10 |
2010-05 |
Annual DRA False Claims Letter |
1/14/10 |
2010-04 |
Services at Several Physical Locations |
2/12/10 |
2010-03 |
CLIA Certification Reminder |
1/26/10 |
2010-02 |
Elective Delivery |
1/25/10 |
2010-01 |
IVRA |
1/11/10 |
2009-52 |
Changes to benefits and Reimbursements |
12/28/09 |
2009-51 |
Changes in Outpatient Behavioral Health Reimbursement for Levels 3 and 4 |
12/28/09 |
2009-50 |
Medicare Part A Crossover Claims |
12/17/09 |
2009-49 |
DME Changes in Reimbursement |
12/22/09 |
2009-48 |
Reduction of Payment for Posterior Fillings to the Amalgam Rate |
12/17/09 |
2009-47 |
ASP- J Codes |
12/28/09 |
2009-46 |
Consolidated Claims Processing System OHCA and ODMHSAS |
12/7/09 |
2009-45 |
NPIs for Behavioral Health Providers |
12/17/09 |
2009-44 |
HCA-31 CMN for Motorized Wheelchairs |
12/7/09 |
2009-43 |
Never Events Policy |
12/17/09 |
2009-42 |
Updated Billing for VFC Program |
11/10/09 |
2009-41 |
Nebulizer Pricing Guidelines |
11/10/09 |
2009-40 |
Stationary and Portable Oxygen Pricing |
11/10/09 |
2009-39 |
H1N1 Vaccine |
11/10/09 |
2009-38 |
Web Filing of Crossover Claims |
10/9/09 |
2009-37 |
Billing for Speech Therapy Services |
10/7/09 |
2009-36 |
PT OT ST IP Coverage |
9/3/09 |
2009-35 |
Bariatric Surgery PA Process |
8/19/09 |
2009-34 |
Implantable Neurostimulators |
8/19/09 |
2009-33 |
Access to Dental Care Reporting Requirement |
7/21/09 |
2009-32 |
Pharmacy Lock-In Program |
7/21/09 |
2009-31 |
SoonerCare Physician Fee Schedule Update |
7/2/09 |
2009-30 |
Proper Coding of Dental Services |
7/2/09 |
2009-29 |
Change in Relative Values for Dental Services |
6/29/09 |
2009-28 |
Appropriate Location of Services Provided |
7/2/09 |
2009-27 |
Pharmacy Update for Soon to be Sooners |
6/29/09 |
2009-26 |
Nursing Facility Cost Report Filing |
6/29/09 |
2009-25 |
Utilization of New CPT Dialysis Codes |
6/29/09 |
2009-24 |
MFP Letter to Nursing Facility Administrators |
6/29/09 |
2009-23 |
VFC Billing Instructions for FQHCs and RHCs |
6/29/09 |
2009-22 |
Transplant PA Process |
5/20/09 |
2009-21 |
Audiology Pricing |
8/19/09 |
2009-20 |
VFC Billing Instructions |
5/20/09 |
2009-19 |
Revised Quality of Care Report |
5/8/09 |
2009-18 |
Post Medical Home Implementation |
3/13/09 |
2009-16 |
HHS-OIG Exclusion Policy |
4/21/09 |
2009-15 |
Obstetrical Providers Educational Material |
4/20/09 |
2009-14 |
ICF MR Rate Increase |
7/15/09 |
2009-13 |
Child Health Checkup Provider Manual |
2/24/09 |
2009-12 |
Wheeled Mobility |
3/24/09 |
2009-11 |
Electronic Records for Behavioral Health Providers |
2/13/09 |
2009-10 |
Tracheostomy Tube Coverage and Reimbursement |
2/19/09 |
2009-09 |
Prior Authorization for ESA Category of Drugs |
2/18/09 |
2009-08 |
No Show Appointments |
4/20/09 |
2009-07 |
OB Provider |
3/13/09 |
2009-06 |
Telemedicine |
3/13/09 |
2009-05 |
FQHC STBS Encounter Limit |
6/17/09 |
2009-04 |
Prior Authorization Fax Server |
2/3/09 |
2009-03 |
Inpatient Admission Discharge Notification |
3/13/09 |
2009-02 |
Insure Oklahoma LBHPs |
2/3/09 |
2009-01 |
Annual DRA False Claims Letter |
1/13/09 |
2008-59 |
POA Indicator |
12/16/08 |
2008-56 |
Skilled Nursing X-Over Payments |
10/22/08 |
2008-55 |
Apnea Monitor Checklist |
10/29/08 |
2008-54 |
Medical Home Update |
12/8/08 |
2008-53 |
Manual Pricing |
1/5/09 |
2008-51 |
OPBH Rate Increase |
9/23/08 |
2008-50 |
Outpatient Facility Claims |
10/9/08 |
2008-49 |
Final Implementation of Tamper Resistant Rx Pads |
9/15/08 |
2008-48 |
RHC Rule Revisions |
9/11/08 |
2008-47 |
Therapy Modifiers |
9/4/08 |
2008-44 |
Medical Home Update |
8/6/08 |
2008-44 |
Attachment: Medical Home Update Case Management Fee Tiers |
8/6/08 |
2008-43 |
Apnea Monitor Prior Authorization |
7/31/08 |
2008-42 |
Adult Therapies Clarification |
7/31/08 |
2008-41 |
CMS Rules Moratorium Update |
7/31/08 |
2008-39 |
Legacy Number Requirement for Paper Claims |
7/14/08 |
2008-38 |
Retro Authorizations Limit 30 Days |
7/24/08 |
2008-37 |
Psychiatric Consultation Program |
10/1/08 |
2008-35 |
Dental Policy |
7/14/08 |
2008-34 |
NDC Requirement Follow-up |
6/26/08 |
2008-31 |
NPI Taxonomy Professional Follow-up |
5/21/08 |
2008-30 |
Advance Directive |
7/8/08 |
2008-29 |
False Claims Ed Program |
5/28/08 |
2008-27 |
CMS Rules Regarding GME and Cost Limit |
5/5/08 |
2008-26 |
Diagnostic Imaging and Topography |
10/9/08 |
2008-21 |
DC 0-3 Crosswalk |
5/5/08 |
2008-20 |
Corrected Fax Numbers for New PA Workflow System |
4/3/08 |
2008-19 |
Medical Home Informational Letter all choice pcps |
5/29/08 |
2008-18 |
NPI Taxonomy Professional |
3/26/08 |
2008-17 |
Dental Chart Doc and PERM review |
4/22/08 |
2008-16 |
Soon-To-Be-Sooners |
7/16/10 |
2008-15 |
New PA Workflow System |
3/26/08 |
2008-13 |
Medical Home Info Meeting |
3/26/08 |
2008-12 |
Frequent ER Utilization Initiative |
3/26/08 |
2008-11 |
OPBH Community Recovery Support |
3/26/08 |
2008-09 |
NPI Taxonomy |
3/26/08 |
2008-08 |
Multiple Surgical Procedures |
7/10/08 |
2008-07 |
NPI Implementation Plan |
3/26/08 |
2008-06 |
NB1 PCPs |
3/26/08 |
2008-05 |
NB1 Hospital |
3/26/08 |
2008-04A |
DRA-False Claims 2008 Letter |
3/26/08 |
2008-04 |
NDC Hospital Outpatient Extension |
3/26/08 |
2008-03 |
Adult Therapies |
3/26/08 |
2008-02 |
Stretcher Services |
3/26/08 |
2008-01 |
SoonerCare Health Management Program |
3/26/08 |
2007-60 |
Outpatient Behavioral Heath Fee Schedule Update |
3/26/08 |
2007-59 |
1500 and UB4 Paper Claims |
3/26/08 |
2007-58 |
Postpone Elimination of Non-emergency Retro Authorizations |
3/26/08 |
2007-57 |
Change in Anesthesia Pmt Methodology |
3/26/08 |
2007-56 |
Asset Transfer Penalty Clarification |
3/26/08 |
2007-55 |
NDC Pharmaceutical Products UB04 |
3/26/08 |
2007-54 |
NDC Pharmaceutical Products 1500 |
3/26/08 |
2007-52 |
Perinatal High Risk Benefit |
7/6/10 |
2007-51 |
Billing Maternity Services |
3/26/08 |
2007-50 |
Tamper Resistant Rx Pads Extension |
3/26/08 |
2007-49 |
Personally Rendered Second Reminder |
3/26/08 |
2007-48 |
Hearing Aid Authorizations |
3/26/08 |
E503 |
Medical Services for Hospice Patients |
3/26/08 |
2007-46 |
Tamper-resistant Rx Pads |
3/26/08 |
2007-45 |
School-Based Fee Schedule Update |
3/26/08 |
2007-44 |
Services Requiring Prior Authorization by the Medical Authorization Unit |
3/26/08 |
2007-43 |
DME Policy Follow Up Letter |
3/26/08 |
2007-42 |
Observation Services |
3/26/08 |
2007-41 |
Expanded Prenatal Benefits for Members and Prenatal Psychosocial Assessment Form |
3/26/08 |
2007-40 |
UB-04 (CMS-1450) Claim Forms |
3/26/08 |
2007-39 |
Physician Fee Schedules |
3/26/08 |
2007-38 |
Medicaid Crossovers |
3/26/08 |
2007-37 |
Medical Suppliers Policy |
3/26/08 |
2007-35 |
Fiscal Year 2007 Cost Reports |
3/26/08 |
2007-34 |
Billing Practices for Services Provided in a School Setting in Compliance with IDEA |
3/26/08 |
2007-33 |
Physical Therapy and Occupational Therapy (additional info) |
3/26/08 |
2007-32 |
Perinatal Dental Access Program Benefit(2) |
4/20/09 |
2007-32 |
PDEN Non-Dental |
11/12/08 |
2007-31 |
Occupational Therapy and Physical Therapy Services for Children |
3/26/08 |
2007-30 |
Tiered Reimbursement Training |
3/26/08 |
2007-29 |
Mobile Dental Services |
3/26/08 |
2007-27 |
PASRR Reporting Changes |
3/26/08 |
2007-26 |
Positron Emission Tomography |
3/26/08 |
2007-25 |
Deficit Reduction Act (DRA) of 2005, False Claims Training |
3/26/08 |
2007-24 |
Electronic Signatures |
3/26/08 |
2007-23 |
Quality of Care Reporting |
3/26/08 |
2007-22 |
Attorney-in-Fact |
3/26/08 |
2007-21 |
Benign Skin Lesions |
3/26/08 |
2007-19 |
PACT Billing |
3/26/08 |
2007-18 |
Restraint and Seclusions |
3/26/08 |
2007-17 |
Rape and Abuse Exams |
3/26/08 |
2007-16 |
Pharmacy Records Retention |
3/26/08 |
2007-15 |
Audiologic Function Tests |
3/26/08 |
2007-15 |
Audiologic Function Test codes |
3/26/08 |
2007-14 |
Income Pension Trust |
3/26/08 |
2007-13 |
Disclosure of Information to SoonerRide |
3/26/08 |
2007-12 |
Perinatal Dental Access Program |
3/26/08 |
2007-11 |
National Provider Identifier (NPI) update |
3/26/08 |
2007-10 |
Psychiatric Residential Treatment Facilities |
3/26/08 |
2007-09 |
O-EPIC Individual Plan (IP) |
3/26/08 |
2007-07 |
Bariatric Surgery |
3/26/08 |
2007-06 |
Nutritional Services |
3/26/08 |
2007-05 |
External Breast Prosthetics |
3/26/08 |
2007-04 |
Transplant Facility Certification |
3/26/08 |
2007-03 |
Non-Emergency Travel for individual in an IMD |
3/26/08 |
2007-02 |
Revisions to Adult Immunization and Mammogram Rules |
3/26/08 |
2007-01 |
Changes for Claims Utilizing Modifier 59 |
3/26/08 |
2006-31 |
Surgical Hysteroscopy Letter |
3/26/08 |
2006-30 |
Required Compliance Program: False Claims Education |
3/26/08 |
2006-29 |
SoonerCare Dental Unit Changes and Rules Reminder |
3/26/08 |
2006-28 |
Changes to the Private Duty Nursing Rules |
3/26/08 |
2006-27 |
Changes to the SoonerCare Breast and Cervical Cancer (BCC) Rules |
3/26/08 |
2006-26 |
Ultrasound Benefits for SoonerCare Members Receiving Prenatal Care |
3/26/08 |
2006-25 |
DME Provider Change Request |
3/26/08 |
2006-24 |
ADA 2006 Dental Claim Form |
3/26/08 |
2006-23 |
Magnetic Resonance Imaging (MRI) guidelines |
3/26/08 |
2006-22 |
Contracted Therapy Providers |
3/26/08 |
2006-21 |
New Dental Rate Schedule |
3/26/08 |
2006-20 |
National Provider Identifier (NPI) |
3/26/08 |
2006-19 |
Permanent Rule Revisions to Dental Program |
3/26/08 |
2006-18 |
Coverage for Smoking and Tobacco Use Cessation Counseling Performed by Dental Practitioners |
3/26/08 |
2006-17 |
Coverage for Smoking and Tobacco Use Cessation Counseling |
3/26/08 |
2006-15 |
Early and Periodic Screening Diagnosis and Treatment (EPSDT) rules and Periodicity Schedule |
3/26/08 |
2006-14 |
Instructions for Filing Your SFY 2006 Cost Report |
3/26/08 |
2006-13 |
Changes to Billing for Services Provided by FQHCs |
3/26/08 |
2006-12 |
SoonerCare Disease Management Program Information for Pharmacy Providers |
3/26/08 |
2006-11 |
SoonerCare Disease Management Program |
3/26/08 |
2006-10 |
Changes to the SoonerCare Dental Rules |
3/26/08 |
2006-09 |
Ectopic Eruption as this term applies to the Index of Malocclusion |
3/26/08 |
2006-08 |
New Rules rules for Indian Health Service, Tribal and Urban Indian Facilities |
3/26/08 |
2006-07 |
Emergency Rules Update for Behavioral Health Providers |
3/26/08 |
2006-06 |
CMS Review |
3/26/08 |
2006-05 |
Payment For Outpatient Hospital Services(2) |
6/28/12 |
2006-05 |
Payment for Outpatient Hospital Services |
3/26/08 |
2006-04 |
Quality of Care Report |
3/26/08 |
2006-03 |
It’s HEALTH CARE, NOT WELFARE |
3/26/08 |
2006-02 |
Cosmetic Procedure Codes |
3/26/08 |
2006-01 |
Submitting claims for services rendered by practitioners |
3/26/08 |
2006 05 |
Payment For Outpatient Hospital Services |
6/28/12 |
2005-36 |
Ventilator equipment and services |
3/26/08 |
2005-35 |
Update to payment for freestanding ambulatory surgery center services |
3/26/08 |
2005-34 |
New base rate and ccr for discharges |
3/26/08 |
2005-33 |
New base rate and ccr |
3/26/08 |
2005-32 |
Modifications made in the RCR process |
3/26/08 |
2005-31 |
Hospitals peer-group classification |
3/26/08 |
2005-30 |
Modifier 25 |
3/26/08 |
2005-29 |
Rate increase for skilled nursing units |
3/26/08 |
2005-28 |
Ambulance rates change |
3/26/08 |
2005-27 |
Anesthesiology reimbursement changes delayed pending further study |
3/26/08 |
2005-26 |
Ambulatory surgery rates to change |
3/26/08 |
2005-25 |
Hospital reimbursement methodologies to change |
3/26/08 |
2005-24 |
Home health reimbursement rates to increase |
3/26/08 |
2005-23 |
Payment process for certain MRI procedures automated |
3/26/08 |
2005-22 |
Reimbursement for tribally operated hospitals |
3/26/08 |
2005-21 |
Rate increase for personal care services |
3/26/08 |
2005-20 |
Rate increase for individual personal care providers |
3/26/08 |
2005-19 |
Filing SFY 2005 Cost Reports |
3/26/08 |
2005-18 |
Third party liability payments |
5/29/08 |
2005-17 |
Rate increase |
3/26/08 |
2005-16 |
Changes to methodology for reimbursement of anesthesia claims |
3/26/08 |
2005-15 |
Maternity Clinic Billing Changes |
3/26/08 |
2005-14 |
Medicare Part B rate increased |
3/26/08 |
2005-13 |
Medicaid DRG Conference |
3/26/08 |
2005-12 |
SoonerPlan |
3/26/08 |
2005-11 |
State Plan Amendment regarding outpatient behavioral health services |
3/26/08 |
2005-10 |
Preadmission Screening and Resident Review Requirements |
3/26/08 |
2005-09 |
Addendum I for Waiver Services Provider Contract |
3/26/08 |
2005-08 |
Purchase of oxygen for Medicaid eligible patients |
3/26/08 |
2005-07 |
Changes to client drug benefit |
3/26/08 |
2005-06 |
CLIA certification for laboratory procedures |
3/26/08 |
2005-05 |
Recall notice on Vail Beds |
3/26/08 |
2005-02 |
Web Access to Prior Authorizations |
3/26/08 |
2005-01 |
CLIA certification number to be included on claims |
3/26/08 |
2004-26 |
ER Provider Rates to Increase |
3/26/08 |
2004-25 |
Medicaid Reimbursement of Surgical Fees |
3/26/08 |
2004-24 |
Implementation of Quality Initiative (OHCA Letter 2004-22) Delayed |
3/26/08 |
2004-23 |
Revised Appendix M-1 for NF, AIDS, ICF MR and Ventilator Services |
3/26/08 |
2004-22 |
Behavioral Health Individual Practitioner Identification Number |
3/26/08 |
2004-21 |
Diabetic Eye Disease – Disease Management |
3/26/08 |
2004-20 |
Payment for Durable Medical Equipment |
3/26/08 |
2004-19 |
2002 ADA Dental Claim Form |
3/26/08 |
2004-18 |
Rate Increase for RBMS in TFC Setting Approved |
3/26/08 |
2004-17 |
Changes in Orthodontic Services |
3/26/08 |
2004-16 |
Level I PASRR Procedure and Form |
3/26/08 |
2004-15 |
Revised Appendix M-1 |
3/26/08 |
2004-14 |
Claim Type Change for Birthing Centers |
3/26/08 |
2004-13 |
Changes in the Reimbursement Methodology of PAs |
3/26/08 |
2004-12 |
Behavioral Health Care Transitioning |
3/26/08 |
2004-11 |
2004 Nursing Home Cost Reports |
3/26/08 |
2004-10 |
Dental Policy Second Brief |
3/26/08 |
2004-09 |
Medicaid Income Deferral Program |
3/26/08 |
2004-08 |
EPSDT School Based State Share Match |
3/26/08 |
2004-07 |
OHCA Hires Its First Full Time Dentist |
3/26/08 |
2004-06 |
Procedures for Approval of an Individual for Care in ICF/MR |
3/26/08 |
2004-05 |
Review Process Related to Wheelchairs |
3/26/08 |
2004-04 |
Medically Necessary Level I Ultrasound |
3/26/08 |
2004-03 |
OHCA Dental Services Unit Expanded |
3/26/08 |
2004-02A |
Revised Quality of Care Report Form |
3/26/08 |
2004-02 |
Revised Quality of Care Report |
3/26/08 |
2004-01 |
Contracting as SoonerCare PCP/CM |
3/26/08 |
2003-39 |
Psychological Testing Code Changes |
3/26/08 |
2003-38 |
Revisions to Outpatient Behavioral Health Rules |
3/26/08 |
2003-37 |
Transition from Local Procedure Code to National Procedure Code for Federally Qualified Health Centers |
3/26/08 |
2003-36 |
Billing Instructions for Obstetric Services Related to Discontinued SoonerCare Plus Program |
3/26/08 |
2003-35 |
Expanded Medicaid Pharmacy Benefit |
3/26/08 |
2003-34 |
Billing Instructions for Inpatient Services Related to Discontinued SoonerCare Plus Program |
3/26/08 |
2003-33 |
Change in Payment Rates for Residential Treatment Center Services |
3/26/08 |
2003-32 |
Change in Payment Rates for Hospital Inpatient Services |
3/26/08 |
2003-31 |
Medicare/Medicaid Crossover Claims for Ambulance Services |
3/26/08 |
2003-30 |
Notification of Forthcoming Changes to Oklahoma Medicaid |
3/26/08 |
2003-29 |
Rate Changes for Nursing Facility (NF) or ICF/MR |
3/26/08 |
2003-28 |
Transition from Local Procedure Code to National Procedure Code for Child Abuse Examinations |
1/21/09 |
2003-27 |
HMO Psychiatric Hospital Transition |
3/26/08 |
2003-26 |
Transition from Local Procedure Code to National Procedure Code for Maternity Clinics |
3/26/08 |
2003-25 |
SoonerCare Plus Transition for Licensed Mental Health Professionals |
3/26/08 |
2003-24 |
Transition From Local Procedure Code to National Procedure Code for Individual Personal Care Services |
3/26/08 |
2003-23 |
Transition from Local Procedure Code to National Procedure Code for Family Planning Clinic Services |
3/26/08 |
2003-22 |
Transition from Local Procedure Code to National Procedure Code for Birthing Center Services |
3/26/08 |
2003-21 |
Transition from Local Procedure Code to National Procedure Code for Therapeutic Foster Care Services |
3/26/08 |
2003-20 |
Hospitals - Alternative Methods for Payment of Inpatient Acute Care Medicaid Claims |
3/26/08 |
2003-19 |
Transition to National Procedure Code for Asst. Technology |
3/26/08 |
2003-18 |
DME changes for Diabetes |
3/26/08 |
2003-17 |
Transition to National Code for Agency Personal Care Services |
3/26/08 |
2003-16 |
Transition to National Codes for Vision Services |
3/26/08 |
2003-15 |
Transition to National Code for Obstetrical Ultrasounds |
3/26/08 |
2003-14 |
Transition to National Code for Nutrition Services |
3/26/08 |
2003-13 |
Behavorial Health Case Management |
3/26/08 |
2003-12 |
Restoration of Adult Dental and 24 Inpatient Hospital Days |
3/26/08 |
2003-11 |
Pharmacy - New Point of Sale (POS) Edit |
3/26/08 |
2003-10 |
NF - Quality of Care Report Part B |
3/26/08 |
2003-09 |
NF and Pharmacy - Influenza and Pneumococcal Immunization |
3/26/08 |
2003-08A |
NF and ICF/MR - Revised Appendix M-1 Schedule |
3/26/08 |
2003-08 |
NF and ICF/MR - Revised Appendix M-1 Letter |
3/26/08 |
2003-07E |
NH Cost Report Main Schedule for Older Versions of Excel |
3/26/08 |
2003-07D |
NH Cost Report Main Schedule for Newer Versions of Excel |
3/26/08 |
2003-07C |
NH Cost Report Common Errors |
3/26/08 |
2003-07B |
NH Cost Report Pages 1 through 3 |
3/26/08 |
2003-07A |
NH Cost Report Instructions |
3/26/08 |
2003-07 |
NH Cost Report Letter |
3/26/08 |
2003-04 |
Long Term Care - PASRR Reminder |
3/26/08 |
2003-03A |
Prescription Drug Assistance Card |
3/26/08 |
2003-03 |
Elimination of Medically Needy Eligibility |
3/26/08 |
2002-29 |
Ambulance Provider - Claims Processing Transition |
3/26/08 |
2002-28 |
Nursing Facility - Claims Processing Transition |
3/26/08 |
2002-27 |
Billing Service - PIN Letter |
3/26/08 |
2002-26 |
Behavioral Health - Elimination of NH Outpatient Counseling |
3/26/08 |
2002-25 |
Reduction of Inpatient Hospital Days |
3/26/08 |
2002-24 |
Elimination of Dental Services |
3/26/08 |
2002-23 |
OHCA Secure Internet Site PIN Letter |
3/26/08 |
2002-22 |
Pharmacy Provider - NCPDP version 5.1 |
3/26/08 |
2002-21 |
SNF - Reduction of Medicare Part A |
3/26/08 |
2002-20 |
Payment Changes - Medicare Part B |
3/26/08 |
2002-19 |
Psychiatric Inpatient Contracted Providers |
3/26/08 |
2002-18A |
HIPAA Questions and Answers |
3/26/08 |
2002-18 |
OHCA HIPAA Implementation - Survey Response Information |
3/26/08 |
2002-17 |
Orthodontist - Fee Schedule Revisions |
3/26/08 |
2002-16A |
Attachment - Revised Appendix M-1 |
3/26/08 |
2002-16 |
Revised Appendix M-1 Letter |
3/26/08 |
2002-15 |
EVS/AVR PIN Letter |
3/26/08 |
2002-14 |
OIG Audit of Oklahoma's School-Based Services |
3/26/08 |
2002-13D |
Nursing Home Cost Report - Instructions |
3/26/08 |
2002-13C |
Nursing Home Cost Report - Excel Spreadsheet |
3/26/08 |
2002-13B |
Nursing Home Cost Report - Certification and Statistics |
3/26/08 |
2002-13A |
Nursing Home Cost Report - Audit Adjustments |
3/26/08 |
2002-13 |
Nursing Home Cost Report - Letter |
3/26/08 |
2002-12 |
Reduction of Medicare Part A Coinsurance Pmt. for SNF |
3/26/08 |
2002-10A |
HIPAA Compliance Survey Form (Printable Version) |
3/26/08 |
2002-10 |
HIPAA Compliance Survey Letter |
3/26/08 |
2002-09 |
Outpatient Behavioral Health Reductions |
3/26/08 |
2002-08A |
Revised HLD-1 Form |
3/26/08 |
2002-08 |
Orthodontic Treatment Rate Changes |
3/26/08 |
2002-07 |
Delayed Rate Increases and Medicaid Part B Modifications |
3/26/08 |
2002-06 |
Pharmacy - Three New Categories to Product Based Prior Authorization |
3/26/08 |
2002-05 |
NF Therapeutic and Hospital Day Rate Changes |
3/26/08 |
2002-04 |
Pharmacy - New Estimated Acquisition Cost |
3/26/08 |
2002-03A |
Medical Providers Training Schedule for 2002 |
3/26/08 |
2002-03 |
Medical Providers Training Announcement for 2002 |
3/26/08 |
2002-02A |
Dental Provider Training Schedule for 2002 |
3/26/08 |
2002-02 |
Dental Provider Training Announcement for 2002 |
3/26/08 |
2002-01- |
MC SoonerCare Plus Program Changes |
3/26/08 |
2002-01A |
NF Provider - Rates of Pmt. Schedule |
3/26/08 |
2002-01 |
NF Provider - Rates of Payments |
3/26/08 |
2001-33 |
Revisions to Fee-for-Service rules |
3/26/08 |
2001-32 |
Pharmacist - Emergency Prior Authorization process |
3/26/08 |
2001-31 |
New Procedure for HMO co-pays |
3/26/08 |
2001-30C |
PASRR Level I Screen |
3/26/08 |
2001-30B |
Instructions for LTC-300A |
3/26/08 |
2001-30A |
ICF/MR Level of Care Assessment |
3/26/08 |
2001-30 |
Revised Level I PASRR |
3/26/08 |
2001-29 |
Revised LTC-300 |
3/26/08 |
2001-28 |
Targeted Case Management |
3/26/08 |
2001-27 |
Begin Using Form W4963 |
3/26/08 |
2001-26 |
LTC Residents Influenza & Pneumococcal Vaccinations |
3/26/08 |
2001-25A |
Nursing Facility - Revised Information |
3/26/08 |
2001-25 |
Nursing Facility - Revised Rate Information |
3/26/08 |
2001-24 |
Psych Res Treatment Facilities - Use of Restraints |
3/26/08 |
2001-23B |
Nursing Facility - Revised Quality of Care Report Instructions |
3/26/08 |
2001-23A |
Nursing Facility - Revised Quality of Care Report in Excel |
3/26/08 |
2001-23A |
Nursing Facility - Revised Quality of Care Form in PDF |
3/26/08 |
2001-22 |
Customer Service Hours of Operation |
3/26/08 |
2001-20 |
Asthma Benefit Changes |
3/26/08 |
2001-19 |
Outpatient Behavorial Health Agencies |
3/26/08 |
2001-18 |
Contracted Psychologist Rule Changes |
3/26/08 |
2001-17 |
Case Management Rule Changes |
3/26/08 |
2001-16 |
Coverage of the Medication Nexium |
3/26/08 |
2001-15 |
Coverage of the Medications Protonix and Mobic |
3/26/08 |
2001-14B |
Attachment; Definitions of School-Based Services |
3/26/08 |
2001-14A |
Attachment; Survey of School-Based Services |
3/26/08 |
2001-14 |
Insurance Carrier; EPSDT |
3/26/08 |
2001-13D |
Attachment; Nursing Facility Cost Reports |
3/26/08 |
2001-13C |
Attachment; Nursing Facility Cost Reports |
3/26/08 |
2001-13B |
Attachment; Nursing Facility Cost Reports |
3/26/08 |
2001-13A |
Attachment; Nursing Facility Cost Reports |
3/26/08 |
2001-13 |
Nursing Facility Cost Reports |
3/26/08 |
2001-12 |
NF and ICF/MR - Diabetic Supplies |
3/26/08 |
2001-11 |
Pharmacy Provider Eligible for PHS (340B) |
3/26/08 |
2001-10b |
Attachment; SoonerRide for NF Recipients |
3/26/08 |
2001-10A |
Attachment; LTC Facilities Routine Services Rules |
3/26/08 |
2001-10 |
NF and ICF/MR - Health Care Initiative Requirements |
3/26/08 |
2001-09 |
Orthodontic Provider; Study Models and X-rays |
3/26/08 |
2001-08 |
Medicaid Provider; Hypnotic Drug Sonata Changes |
3/26/08 |
2001-07A |
Attachment; Dental Training Form & Schedule |
3/26/08 |
2001-07 |
Dental Provider Training Schedule Letter |
3/26/08 |
2001-06A |
DME Provider - Diabetic Supplies Addendum |
3/26/08 |
2001-06 |
DME Provider - Diabetic Supply Benefit |
3/26/08 |
2001-05 |
Independent Personal Care Provider Claim Changes |
3/26/08 |
2001-04B |
Attachment; Medicaid Provider Training Registration |
3/26/08 |
2001-04A |
Attachment; Medicaid Provider Training Schedule |
3/26/08 |
2001-04 |
Provider Training Schedule Letter |
3/26/08 |
2001-03 |
Agency Personal Care Provider Billing Changes |
3/26/08 |
2001-02A |
Attachment; Rules for DME & Medical Supplies |
3/26/08 |
2001-02 |
Medical Provider - DME & Medical Supplies for Adults |
3/26/08 |
2001-01 |
Medical Provider ER and Physician Service Changes |
3/26/08 |
2000-48 |
Medical Provider Rule Changes for Injectable Drugs |
3/26/08 |
2000-47A |
Attachment; Fee Schedule Request Form |
3/26/08 |
2000-47 |
Speech & Hearing Provider Reimbursement Changes |
3/26/08 |
2000-46A |
NF and ICF/MR - Rate Increases (Appendix M-1) |
3/26/08 |
2000-46 |
NF and ICF/MR - Rate Increases |
3/26/08 |
2000-45 |
Pharmacy - New Labelers January 1, 2001 |
3/26/08 |
2000-44A |
NF Provider - Minimum Wage Notice (Poster) |
3/26/08 |
2000-44 |
NF Provider - Minimum Wage Notice |
3/26/08 |
2000-43A |
Universal Petition for Medication Authorization |
3/26/08 |
2000-43 |
Physician and Pharmacy - Help Desk Hours Change |
3/26/08 |
2000-42 |
Waiver Providers - Recoupment of Over-Paid Funds |
3/26/08 |
2000-41 |
NF Provider QOCR Letter for Workbook |
3/26/08 |
2000-40D |
NF Provider QOCR Certification Form |
3/26/08 |
2000-40C |
NF Provider QOCR Form Instructions |
3/26/08 |
2000-40A |
NF Provider QOCR Form (Excel File) |
3/26/08 |
2000-40A |
NF Provider QOCR Form (Adobe File) |
3/26/08 |
2000-40 |
NF Provider Quality of Care Report Letter (QOCR) |
3/26/08 |
2000-39A |
Revised Rules for Res BH and Foster Care |
3/26/08 |
2000-39 |
Rule Revisions for Res BH and Foster Care |
3/26/08 |
2000-38 |
EPSDT Claim Form Changes |
3/26/08 |
2000-37 |
Habilitation Rate Increase |
3/26/08 |
2000-36 |
DDSD Skilled Nursing Rate Increase |
3/26/08 |
2000-35 |
Ambulance Provider Rate Increase |
3/26/08 |
2000-34 |
Ambulatory Surgery Center Rate Increase |
3/26/08 |
2000-33A |
Attachment; M-1 (NF Rate Schedule) |
3/26/08 |
2000-33 |
Nursing Facility Provider Rate Increase |
3/26/08 |
2000-31 |
Hospital Provider Rate Increase |
3/26/08 |
2000-30 |
Direct In-Home Care and Skilled Nursing Rate Increase |
3/26/08 |
2000-29 |
Home Delivered Meals Rate Increase |
3/26/08 |
2000-28A |
Personal Care Provider Rate Increase |
3/26/08 |
2000-28 |
Attachment; Health Plan Contact List |
3/26/08 |
2000-27 |
Dental Provider Rate Increase |
3/26/08 |
2000-26 |
Behavioral Health Rate Increase |
3/26/08 |
2000-25 |
Birthing Center Rate Increase |
3/26/08 |
2000-24 |
Eye Care Provider Rate Increase |
3/26/08 |
2000-23 |
Home Health Provider Rate Increase |
3/26/08 |
2000-22A |
Medicaid Provider Rate Increases |
3/26/08 |
2000-22 |
Nursing Facility - Gross Revenues and Census Report |
3/26/08 |
2000-21 |
Nursing Facility - Quality of Care Fee - 1st Monthly Report for August Services |
3/26/08 |
2000-20A |
SoonerCare Choice Providers |
3/26/08 |
2000-20 |
Attachment; Gross Revenue and Census |
3/26/08 |
2000-19 |
Nursing Facility - Quality of Care Fee Letter |
3/26/08 |
2000-18A |
Elimination of the ADM-36k |
3/26/08 |
2000-18 |
Pharmacy - RxPOS Training Seminars |
3/26/08 |
2000-17 |
Pharmacy - ProDUR |
3/26/08 |
2000-16A |
Pharmacy - New Labelers July 1, 2000 |
3/26/08 |
2000-16 |
Attachment; Carrier List |
3/26/08 |
2000-15A |
Carrier List Letter |
3/26/08 |
2000-15 |
Attachment; HBOC ClaimCheck |
3/26/08 |
2000-14A |
HBOC ClaimCheck |
3/26/08 |
2000-14 |
Medicaid Provider Training Schedule |
3/26/08 |
2000-13 |
Medicaid Provider Training |
3/26/08 |
2000-12 |
Nursing Home - 2000 Cost Reports - Instructions Letter |
3/26/08 |
2000-11B |
Pharmacy - New Claims Processing System and ProDUR |
3/26/08 |
2000-11A |
Attachment; Dental Provider Training July - November, 2000 |
3/26/08 |
2000-11 |
Attachment; ADA Claim Form Instructions |
3/26/08 |
2000-10 |
Dental - ADA Claim Form |
3/26/08 |
2000-09 |
Pharmacy - Medicaid Drug Rebate Program Changes |
3/26/08 |
2000-08 |
Hospital - Direct Medical Education - Annual Application |
3/26/08 |
2000-07A |
Medical Supplier - WH modifier - ADvantage Waiver |
3/26/08 |
2000-07 |
Attachment; Medicaid Provider Training Schedule |
3/26/08 |
2000-06 |
Provider Training Seminars for HCFA 1500 and UB92 |
3/26/08 |
2000-05 |
Pharmacy - Implementation of State Max. Allow. Cost (SMAC) |
3/26/08 |
2000-04 |
Fee-For-Service Rule Chnges |
3/26/08 |
2000-03 |
Pharmacy - New Labelers April 1, 2000 |
3/26/08 |
2000-02 |
Child Abuse Examination Changes |
3/26/08 |
2000-01A |
Pharmacy - Medicaid Federal Upper Limits Deletions |
3/26/08 |
2000-01 |
Attachment; Appendix M-1 Fee Schedule |
3/26/08 |
|
Revised Appendix M-1 for NF and ICFs/MR |
3/26/08 |