MedicaidAdministrativeLow impact
Provider Letter 2024-23: RE: Policy Revisions and Program Updates – Effective Sept. 1, 2024
Oklahoma SoonerCare·OK·Provider Letter
Effective date
Sep 1, 2024
We identified it
Jun 20, 2026
Summary
Oklahoma Health Care Authority updated hospital services policy effective September 1, 2024, removing outdated language and clarifying existing criteria for inpatient vs outpatient determinations, payment structures, and non-covered outlier payments. The changes reflect current business practices but do not appear to introduce new billing requirements.
Action Required
Immediately: Billing and administrative teams should review the complete updated hospital services policy (OAC 317:30-5-41, 317:30-5-47) on the OHCA policy website to understand clarified criteria for inpatient vs outpatient determinations and payment structures. Contact OHCA provider helpline at 800-522-0114 with any questions about the rule changes.