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What is the OHCA?

The Ohio Health Care Association (OHCA) is proud to represent nearly 1000 skilled nursing care facilities, assisted living communities and providers of care and services to individuals with Intellectual and developmental disabilities (ID/DD).

How do I use the OHCA member portal?

Use the portal to register for an event, view/print your CEUs, pay invoices, and more. If you need technical support please contact us, 503-726-5260 or info@ohca.com. Thank you for using the OHCA Member Portal! Contact OHCA for technical support, 503-726-5260 or info@ohca.com.

How do I join the OHCA provider training webinar?

Target Audience: Oklahoma Medicaid providers interested in or currently administering vaccines through the VFC program. Visit the OHCA Provider Training page to register. After registering, you will receive a confirmation email containing information about joining the webinar and reminder emails before the webinar begins.

How many patients visit HCA Healthcare each year?

We also utilize data pulled from approximately 35 million patient visits annually to help physicians deliver superior and personalized medicine for their patients. HCA Healthcare invests in technology that helps physicians monitor and improve the prescription of opioids.

How do I find out MySoonerCare number?

How do I get my SoonerCare ID number? If you are asked to show an ID card, you can now print it from the member portal if you applied online at www.mysoonercare.org. If you applied through the Department of Human Services, they can print an ID card for you.

How often do you have to renew SoonerCare?

If no changes are incurred, then the application will need renewed at least every 11 months.

Is Medicaid and SoonerCare the same thing?

SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. The Oklahoma Health Care Authority is the state agency that administers the program.

What does SoonerCare choice cover for adults?

Members can learn how to select or change a provider with this video. SoonerCare provides coverage for dental care, preventive care, family planning services, behavioral health, and substance abuse services as well as inpatient hospital services.

What is covered by SoonerCare?

Possible covered servicesAmbulance.Ambulatory Surgery Center services.Behavioral health and substance abuse services (outpatient)Case management services.Chemotherapy and radiation therapy.Child Health.Clinic services including renal dialysis services.Dental services (limited for adults)More items...•

How do you tell if I still have SoonerCare?

SoonerCare will pay for most medical services, but not all. If you do not know if a service is covered by SoonerCare, ask your provider or call the SoonerCare helpline at 800-987-7767. Ask your provider for the procedure code of the service you are wanting and have it available when you call the SoonerCare helpline.

Does SoonerCare pay for glasses for adults?

Vision coverage for SoonerCare adults over the age of 21 is limited to services related to eye disease or injury. There is no routine eye exam or glasses benefit for SoonerCare members who are over 21 years old.

What is the maximum income for SoonerCare?

On June 30, 2020, Oklahomans voted to expand SoonerCare eligibility to adults ages 19-64 whose income is 138% of the federal poverty level or lower through Medicaid expansion. This change equates to an estimated annual income of $17,796 for an individual or $36,588 for a family of four.

How do I check my Medicaid status?

PhoneCall toll-free at 800-252-8263, 2-1-1 or 877-541-7905.Choose English or Spanish.Choose option 2. The person you speak with can help you find out if you have Medicaid or not.

Will SoonerCare pay for dentures?

The adult limited dental benefit will add preventative care including cleanings, fluoride, and periodontal scaling. Exams, x-rays, partial and full dentures will also be added in addition to the current medically necessary extraction benefit.

Does SoonerCare cover hospital visits?

(A) Inpatient hospital visits for all SoonerCare covered stays. All inpatient services are subject to post-payment review by the OHCA, or its designated agent.

What is the difference between SoonerCare and SoonerCare choice?

SoonerCare Choice is a Primary Care Case Management Program (PCCM) in which each member has a medical home. The medical home provider will coordinate all health care services to qualifying Oklahomans. SoonerCare is administered by the Oklahoma Health Care Authority (OHCA).

What is SoonerCare income guidelines?

Visit okhca.org/programs for details....2022 SoonerCare Income Guidelines for Expansion Adults (effective: 4/1/2022)Size of HouseholdMonthly IncomeAnnual Income1$1,564$18,7682$2,106$25,2723$2,650$31,8004$3,192$38,30416 more rows•Jun 7, 2022

Does SoonerCare pay for glasses for adults?

Vision coverage for SoonerCare adults over the age of 21 is limited to services related to eye disease or injury. There is no routine eye exam or glasses benefit for SoonerCare members who are over 21 years old.

Does SoonerCare have a copay?

(Non-exempt SoonerCare adult members will be charged a $4 copay per visit for non-emergency dental services.)

Does SoonerCare cover surgery?

Payment is made to physicians for medical and surgical services for members under the age of twenty-one (21) within the scope of the SoonerCare program, provided the services are medically necessary for the diagnosis and treatment of illness or injury, or to improve the functioning of a malformed body member.

Education and Events

Conferences, special events and online trainings to learn new skills and improve quality care.

Advocating for Quality Care

Working with policymakers to ensure Oregon remains the national leader in providing long term care.

Our Members

Advocacy, education, and world-class resources to further our members’ commitment to providing quality care in their communities.

How to contact OHCA?

For questions, please contact the OHCA Call Center at 1-800-522-0114, option 1.

What is the number to call for OHCA?

For any questions regarding COVID-19-related copay or billing issues, please call the OHCA provider helpline at 800-522-0114.

What is the HAP program?

Effective July 1, 2021, newly eligible expansion adults are in a new eligibility group called the Healthy Adult Program (HAP). When checking eligibility on the OHCA secure provider portal for new adult SoonerCare members, Healthy Adult Program (HAP) will display as the program of eligibility. In order to ensure coverage for services, use ...

What is the Oklahoma Health Care Authority portal?

The Oklahoma Health Care Authority's secure portal is intended for providers, clerks and billing agents. This site gives you the opportunity to maintain provider information, access claim and prior authorization related functions, and receive messages from the OHCA that apply specifically to you.

When does SoonerCare start?

SoonerCare coverage for newly eligible expansion adults in the Healthy Adult Program begins July 1, 2021. The Healthy Adult Program is a fee-for-service payment model. Members will not be assigned a Patient Centered Medical Home (PCMH) and no SoonerCare referral is required at this time.

Is the Healthy Adult Program a fee for service?

The Healthy Adult Program is a fee-for-service payment model. Members will not be assigned a Patient Centered Medical Home (PCMH) and no SoonerCare referral is required at this time. Services that currently require prior authorization will continue to require prior authorization for the Healthy Adult Program.

Does the 4 visit limit apply to Choice PCP?

Note: the four visit per month limit does not apply to Choice PCP visits. Members enrolled with a patient-centered medical home provider may receive unlimited visits with their assigned primary care provider.

How to contact OHCA?

Use the portal to register for an event, view/print your CEUs, pay invoices, and more. If you need technical support please contact us, 503-726-5260 or info@ohca.com. Thank you for using the OHCA Member Portal!

When will the new member portal be released?

New Member Portal Launched February 4, 2021. A new Member Portal with mobile responsive features was recently launched. The portal’s enhanced security will require a password reset the first time you access it. Enter your username and you will receive an email with a verification code to reset your password.

We are committed to providing healthcare that puts people first

At HCA Healthcare, our commitment to you is simple. We stand for accessible, high-quality healthcare, delivered with compassion, integrity and kindness. Together, we are building vibrant, healthy communities.

Care across many cultures

We believe patients and their families are the most important decision makers when it comes to healthcare. This is why we ensure everyone we serve can easily communicate with caregivers and find the right information.

Serving our patients

We use our scale and skill to deliver patient-centered care to our patients at every visit.