MedicaidAdministrativeMedium impact
Provider Letter 2023-19: RE: Policy Revisions and Program Updates – Effective Sept. 11, 2023
Oklahoma SoonerCare·OK·Provider Letter
Effective date
Sep 11, 2023
We identified it
Jun 20, 2026
Summary
Oklahoma Health Care Authority (OHCA) implemented three policy changes effective Sept. 11, 2023: updated physician assistant supervision terminology and requirements, consolidated laboratory services policies, and eliminated Certificate of Medical Necessity (CMN) forms for most medical supplies and equipment prior authorizations (except enteral and parenteral nutrition).
Action Required
By Sept. 11, 2023: Billing team must stop including CMN forms when submitting prior authorization requests for medical supplies, equipment and appliances to Oklahoma Medicaid. Continue to include CMN forms only for enteral and parenteral nutrition prior auths. Update PA submission workflows and staff training. Review consolidated laboratory policies at OHCA policy website for any billing changes.