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MedicaidReimbursementMedium impact

Provider Letter 2023-11: RE: Provider Recoupment

Oklahoma SoonerCare·OK · Family Medicine, Internal Medicine, Endocrinology +1 more·Provider Letter
Effective date
May 17, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Oklahoma Medicaid (OHCA) is correcting errors in Improver Bonus Payments for the Diabetic Control incentive. Providers who received overpayments will have account receivables (AR) set up to recoup funds from future payments, while underpaid providers already received corrections on 5/17/2023.

Action Required

Action needed
Immediately: Review upcoming payment cycles for potential account receivables (AR) related to Diabetic Control incentive overpayments. Monitor EOBs and payment reports for automatic recoupments that may occur over the next few weeks. Contact scorecards@okhca.org if questions arise about AR setup or payment adjustments.