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MedicaidReimbursementMedium impact

Provider Letter 2022-19: Provider Recoupment - August 17, 2022

Oklahoma SoonerCare·OK · Emergency Medicine, Family Medicine, Internal Medicine +2 more·Provider Letter
Effective date
Aug 31, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Oklahoma Medicaid (SoonerCare) made errors in Improver Bonus Payments for Behavioral Health Screening, Obesity Screening, and Emergency Department incentives in August 2022. Providers who were underpaid received corrections on August 31, 2022, while overpaid providers will have funds recouped from future payments through account receivables.

Action Required

Action needed
Immediately: Billing team should review August 2022 payment remittances for Improver Bonus Payment adjustments related to Behavioral Health Screening, Obesity Screening, and Emergency Department incentives. Monitor future remittances for potential recoupments if overpaid. Contact scorecards@okhca.org with questions about specific payment adjustments.