How do I choose a provider for SoonerCare?
Choosing a PCP/CM You must call the SoonerCare Helpline to choose your medical home at 800-987-7767. Your SoonerCare benefits will be limited if you do not choose a PCP/CM. You can use the same PCP/CM for your whole family or each family member can choose a different one.
What is SoonerCare choice?
SoonerCare Choice is Oklahoma’s statewide managed care model in which each member is linked to a primary care provider who serves as their ‘medical home’. In exchange for this service, each PCP is prepaid a fixed monthly capitated payment for care coordination.
Does Oklahoma have managed Medicaid?
MEDICAID MANAGED CARE The Oklahoma Health Care Authority, in partnership with four managed care organizations (MCOs) and three dental benefit plans, will transition to a new health care model through the SoonerSelect program.
Do I qualify for Medicaid Oklahoma?
Who’s eligible for Medicaid in Oklahoma? Under the expanded Medicaid guidelines, adults ages 19-64 whose income is 138% or lower than the federal poverty level are eligible for coverage. For an individual, that is an income of about $17,796 a year, or $36,588 for a family of four.
What does SoonerCare cover for adults 2021?
– Adult SoonerCare benefits mirror the benefits available to SoonerCare traditional members ages 21 and over. Durable medical equipment (DME) services that cover items such as oxygen equipment and supplies, wheelchairs, walkers and hospital beds.
What does SoonerPlan cover for adults?
Q: What does SoonerPlan cover? A: SoonerPlan covers office visits and exams related to family planning, pap smears, birth control, tubal ligations and vasectomies for women and men 19 years of age and older.
Can I get SoonerCare if I have other insurance?
If an eligible person has other medical insurance, that insurance company must be billed before SoonerCare is billed.