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Provider Letters- Archives

Letter NumberSubjectDate Added to Web Site
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
Last Modified on Jan 07, 2025
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