General Provider Webinars

• DentaQuest Provider Training – March 2024
• DentaQuest Provider Training Q&A – March 2024

Requests to Change Service Provision Approved by OHCA

• 2024-11 SoonerSelect Dental Process Changes for DentaQuest and Liberty Dental Plan ­– Effective June 1, 2024
• 2024-17 SoonerSelect Dental DentaQuest Changes – Effective Oct. 1, 2024
• 2024-27 SoonerSelect Dental DentaQuest Changes – Effective Dec. 9, 2024

General Provider Resources

• Provider Resources - Liberty Dental Plan

General Provider Webinars

• Liberty Dental Provider Training – March 2024
• Liberty Dental Provider Training Q&A – March 2024

Requests to Change Service Provision Approved by OHCA

• 2024-11 SoonerSelect Dental Process Changes for DentaQuest and Liberty Dental Plan ­– Effective June 1, 2024
• 2024-18 SoonerSelect Dental Liberty Changes – Effective Oct. 1, 2024

Provider Notices

• Notices and Newsletters - Provider office hours can be found in the 'Important Notices' drop down.

Prior Authorizations

• Aetna Prior Authorization Guide

Credentialing

• Aetna Credentialing Resource Guide

General Provider Webinars

• Aetna Webinar FAQ – May 2024

Vision Webinars 

• EyeMed (Aetna) Webinar Presentation – May 2024
• EyeMed (Aetna) Webinar FAQ – May 2024

Requests to Change Service Provision Approved by OHCA

• 2024-19 SoonerSelect Aetna Service Provision Change – Effective Oct. 1, 2024
• 2025-02_SoonerSelect Aetna Change of Service Pre-Pay Diagnosis Related Group Payment - Effective April 1, 2025
• 2025-09 Aetna Better Health of Oklahoma’s Implementation of PA Requirements for Specific Codes – Effective March 3, 2025
• MAC Document Aetna SEL-0109 New Patient Codes  – Effective July 1, 2025
• MAC Document Aetna Custom Drug Maintenance List - Effective September 1, 2025
• MAC Document Aetna SEL-0109 Reinstating PA Requirements for Certain J Codes - Effective September 1, 2025
• MAC Document Aetna SEL-0109 Intensity Modulated Radiation Therapy
• MAC Document Aetna SEL-0109 Anesthesia for Pain Management - Effective 9/24/2025
• MAC Document Aetna SEL-0109 Split Fill-Edit Logic - Effective 10/15/2025
• MAC Document Aetna SEL-0109 Not Adding Prior Authorization Requirement to Certain HCPCS Codes - Effective 10/24/2025
• MAC Document Aetna SEL-0109 Not Adding Prior Authorization Requirement for Certain CPT Codes - Effective 10/24/2025
• MAC Document Aetna and Humana SEL-0109 Not Adding Prior Authorization Requirement for Specific HCPCS Code - Effective 10/23/2025 and 10/10/2025 Respectively
• MAC Document Aetna and Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain CPT Codes - Effective 10/24/2025 and 9/29/2025 Respectively
• MAC Document Aetna and Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain CPT Codes - Effective 10/24/2025 and 10/8/2025 Respectively
• MAC Document Aetna SEL-0109 Not Adding PA Requirement Trans-Anal Irrigation - Effective October 15, 2025
• MAC Document Aetna SEL-0109 Not Adding PA Requirement Gait Trainers - Effective November 24, 2025
• MAC Document Aetna SEL-0109 Not Adding PA Requirement VAD's - Effective November 19, 2025
• MAC Document Aetna SEL-0109 Not Adding PA Requirement Allergen Testing - Effective October 18, 2025
• MAC Document Aetna SEL-0109 Not Adding PA Requirement Transcatheter Insertion/Removal - Effective November 24, 2025
• MAC Document Aetna SEL-0109 Not Adding PA Requirement Orthotic Management - Effective November 24, 2025
• MAC Document Aetna & Humana SEL-0109 Not Adding PA Requirement Developmental Testing - Effective October 17, and October 28, 2025
• MAC Document Aetna SEL-0109 Neurobehavioral Status Exam (NSE) - Effective February 13, 2026
• MAC Document Aetna SEL-0109 Lung Cancer Screening - Effective February 13, 2026
• MAC Document Aetna SEL-0109 Incontinence Supplies - Effective February 13, 2026
• MAC Document Aetna SEL-0109 Doppler Velocimetry - Effective February 13, 2026
• MAC Document Aetna SEL-0109 DME Supplies for Nutrition - Effective February 13, 2026
• MAC Document Aetna SEL-0109 Nursing Assessment/Evaluation - Effective February 13, 2026
• Remove PA Requirement for HCPCS L6034 Partial Hand Prosthesis - Effective 5/14/2026
• ABA Coverage Limits for CPT 97153 - Effective 5/14/2026
• Gastrointestinal Pathogen Testing – Effective 5/18/2026
• ABA Supervision – Effective 5/19/2026
• Compression Burn Garment – Effective 5/19/2026
• Hearing Aid Devices - Effective 5/19/2026
• Maternal Ultrasound – Effective 5/18/2026
• Q4101 APLIGRAF – Effective 5/18/2026
• Q5001 Hospice Care – Effective 5/20/2026
• ABA Assessments – Effective 5/20/2026
• Genetic Testing - Effective 5/18/2026
• Obstetrical Ultrasound – Effective 5/19/2026

Prior Authorizations

• Humana Prior Authorization Guide

General Provider Webinars

• Humana Healthy Horizons Webinar FAQ – May 2024

Vision Webinars 

• Superior Vision and Humana Health Horizons Presentation – May 2024
• Superior Vision and Humana Healthy Horizons FAQ – May 2024

Requests to Change Service Provision Approved by OHCA

• 2025-08 Emergency Room Evaluation – Effective April 1,, 2025
• Gene Cell Therapy - Effective June 2, 2025
• MAC Document Humana SEL-0109 HCPS Code T1001 - Effective June 23, 2025
• MAC Document Humana SEL-0109 Removal of CPT Codes - Effective July 1, 2025
• MAC Document Humana SEL-0109 Removal of CPT Codes - Effective October 1, 2025
• MAC Document Humana SEL-0109 Custom Drug Maintenance List - Effective September 1, 2025
• MAC Document Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain HCPCS Codes
• MAC Document Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain CPT Codes - Effective 9/25/2025
• MAC Document Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain CPT Codes - Effective 9/29/2025
• MAC Document Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain HCPCS Codes - Effective 9/29/2025
• MAC Document Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain HCPCS Codes - Effective 10/8/2025
• MAC Document Aetna and Humana SEL-0109 Not Adding Prior Authorization Requirement for Specific HCPCS Code - Effective 10/23/2025 and 10/10/2025 Respectively
• MAC Document Aetna and Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain CPT Codes - Effective 10/24/2025 and 9/29/2025 Respectively
• MAC Document Aetna and Humana SEL-0109 Not Adding Prior Authorization Requirement for Certain CPT Codes - Effective 10/24/2025 and 10/8/2025 Respectively
• MAC Document Humana SEL-0109 Not Adding PA Requirement Transthoracic Echocardiography - Effective November 15, 2025
• MAC Document Humana SEL-0109 Not Adding PA Requirement Infusion Pumps - Effective November 25, 2025
• MAC Document Humana SEL-0109 Not Adding PA Requirement Incontinence Supplies - Effective November 25, 2025
• MAC Document Humana SEL-0109 Not Adding PA Requirement Doppler Velocimetry - Effective November 25, 2025
• MAC Document Humana SEL-0109 Not Adding PA Requirement Lung Cancer Screening - Effective November 25, 2025
• MAC Document Humana SEL-0109 Anesthesia for Pain Management - Effective November 1, 2025
• MAC Document Humana SEL-0109 Intensity Modulated Radiation Therapy - Effective November 1, 2025
• MAC Document Aetna & Humana SEL-0109 Not Adding PA Requirement Developmental Testing - Effective October 17, and October 28, 2025
• MAC Document SEL-0109 Process Change - ABA Assessments
• MAC Document SEL-0109 Implantable Pumps - Effective February 13, 2026
• MAC Document SEL-0109 Diagnostic Ultrasound - Effective February 13, 2026
• MAC Document SEL-0109 Compression Burn Garment - Effective February 13, 2026
• MAC Document Humana SEL-0109 Hearing Aid Devices - Effective February 13, 2026
• Add PA Requirement for HCPCS Code A0436 Air Ambulance Transport - Effective 5/14/2026
• ABA Supervision – Effective 5/19/2026
• Partial Hand Prosthesis – Effective 5/21/2026
• Tonsillectomy/Adenoidectomy – Effective 5/18/2026
• Vision Aids – Effective 5/18/2026
• Oxygen Systems/Power Wheelchair – Effective 5/19/2026
• Wheelchair Management - Effective 6/1/2026

Prior Authorizations

• N/A

General Provider Webinars

• N/A

Vision Webinars 

• Oklahoma Complete Health Vision Webinar Presentation – May 2024

Requests to Change Service Provision Approved by OHCA

• 2024-20 PA Criteria for MRI of the Lumbar Spine – Effective Nov. 1, 2024
• 2025-04 SoonerSelect Prior Authorization Process for Tonsillectomies and/or Adenoidectomies for Members Over Age 12 for Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program – Effective Feb. 1, 2025
• 2025-05 SoonerSelect Cumulative Refill Too Soon Threshold for Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program – Effective Feb. 1, 2025
• MAC Document for Oklahoma Complete Health/Oklahoma Complete Health Children's Specialty Program Change of Provisions
• MAC Document for Oklahoma Complete Health/Oklahoma Complete Health Children's Specialty Program Change of Provisions - ABA Services - Approved 12/15/25
• MAC Document for Oklahoma Complete Health/Oklahoma Complete Health Children's Specialty Program Change of Provisions - PA Limited Surgical Codes - Approved 12/15/25
• MAC Document for Oklahoma Complete Health/Oklahoma Complete Health Children's Specialty Program Change of Provisions - PA Limited Surgical Codes - Adult Briefs - Approved 12/15/25
• MAC Document OCH-OCHCSP Change of Requirements Add PA to Air Transport
• MAC Document OCH-OCHCSP Change of Requirements ABA Supervision
• MAC Document OCH-OCHCSP Change of Requirements PA Knee Orthosis Code L1833
• MAC Document OCH-OCHCSP Change of Requirements PA Air Transport
• Change of Service Provisions for Code 97151 - ABA Assessments - OCH & OCHCSP
• OCH/OCHCSP Change of Service Provisions: Rituximab Products
• OCH/OCHCSP Change of Services Provision: Evaluation and Management Services