MedicaidCoverageMedium impact
Provider Letter 2023-17: RE: Postpartum Services
Oklahoma SoonerCare·OK · OB-GYN, Family Medicine·Provider Letter
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Oklahoma's SoonerCare (Medicaid) has extended postpartum coverage from 60 days to 12 months following pregnancy end, effective January 1, 2023. Members remain eligible regardless of income changes or other circumstances, with continuous coverage through the end of the 12th month postpartum.
Action Required
Immediately: Billing team must verify SoonerCare postpartum member eligibility extends through 12 months instead of previous 60 days when processing claims. Update eligibility verification procedures to check coverage through end of 12th month postpartum. Ensure postpartum visit billing follows global OB package rules - only bill separately if provider did not perform delivery and no other provider billed global package.