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Provider Letter 2024-22: RE: Policy Revisions and Program Updates – Effective Sept. 1, 2024

Oklahoma SoonerCare·OK · Family Medicine, Internal Medicine, General Practice +1 more·Provider Letter
Effective date
Sep 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Oklahoma Medicaid (SoonerCare) implemented policy changes effective September 1, 2024, expanding personal care services eligibility for certain populations and exempting preventive services and vaccine administration from copayments for expansion adults. These changes clarify medical eligibility criteria and billing processes for personal care services.

Action Required

Action needed
Immediately: Billing team should review updated Oklahoma Medicaid policies for personal care services eligibility requirements and documentation. Update billing procedures to ensure preventive services and vaccine administration are billed without copayments for Medicaid expansion adults. Contact OHCA provider helpline at 800-522-0114 for specific questions about eligibility determinations and billing processes.