MedicaidAdministrativeMedium impact
Provider Letter 2022-17: Re: Removal of Referral for Specific Preventive Codes
Oklahoma SoonerCare·OK · OB-GYN·Provider Letter
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Oklahoma Medicaid (SoonerCare) has eliminated referral requirements for preventive medicine evaluation and management codes 99381-99397 when provided by OB/GYN specialists. This change removes barriers to preventive care for Medicaid members and streamlines the billing process for these routine preventive services.
Action Required
Immediately: OB/GYN practices must update billing systems to remove referral requirements for CPT codes 99381-99397 when billing Oklahoma Medicaid. Update front desk procedures to stop requesting referrals for these preventive services. Notify scheduling staff that SoonerCare members can now schedule preventive visits directly without referrals.