ohca patient login

What is the OHCA website for?

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. © 2021 Gainwell Technologies.

What does OHCA pay for SoonerCare?

OHCA also pays the monthly Medicare Part B premium for SoonerCare members age 65 or older and for certain blind or disabled persons. If an eligible person has other medical insurance, that insurance company must be billed before SoonerCare is billed.

How do I log in to the SoonerCare portal?

Here is how the service works: Type your User ID and click Log In. Your site key token displays. Your personalized site key token helps you identify that you are at the valid SoonerCare Portal site.

How to contact OHCA?

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

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.

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 ...

How to contact OHCA?

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

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.

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 ...

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.