MedicaidCoverageMedium impact
Provider Letter 2022-15: RE: Policy Revisions and Program Updates – Effective Sept. 12, 2022
Oklahoma SoonerCare·OK · Dentistry, Emergency Medicine, OB-GYN·Provider Letter
Effective date
Sep 12, 2022
We identified it
Jun 20, 2026
Summary
Oklahoma Medicaid (SoonerCare) implemented multiple policy revisions effective September 12, 2022, including changes to lodging/meals authorization requirements, private duty nursing assessments, dental prophylaxis timing (changed from every 184 days to every 6 months), obstetric ultrasound coverage in emergency rooms without prior auth, and removal of restrictions on custom lab panels.
Action Required
Effective September 12, 2022: Billing teams must update workflows for multiple services: (1) Dental teams should adjust prophylaxis scheduling from 184-day intervals to 6-month intervals and update billing system parameters, (2) Emergency departments can now bill OB ultrasounds without prior authorization when medically necessary, (3) Lab billing staff should remove restrictions on custom lab panels from billing edits, (4) Private duty nursing providers must update assessment procedures and treatment plan signature requirements, (5) Providers offering lodging/meal services must implement new authorization and documentation requirements including member attestation signatures.