MedicaidAdministrativeHigh impact
Provider Letter 2022-11: Re: PCMH Behavioral Health Screening Requirement
Oklahoma SoonerCare·OK · Family Medicine, Internal Medicine, General Practice +1 more·Provider Letter
We identified it
Jun 20, 2026
Summary
Oklahoma Medicaid (SoonerCare) requires Patient-Centered Medical Home (PCMH) providers to conduct behavioral health screenings for all assigned members age 5 and above. Current compliance is below 35%, and providers must increase screening rates to meet contractual requirements.
Action Required
Immediately: PCMH providers must implement behavioral health screening protocols for all assigned SoonerCare members age 5 and above to meet contractual requirements. Clinical staff should access free screening tools from OHCA's behavioral health webpage in English and Spanish. Billing team should review coding and billing guidance on the PCMH behavioral health screening webpage and monitor provider scorecards in the SoonerCare Provider Portal. Contact SoonerCareEducation@okhca.org for training assistance. Failure to comply may result in contract violations and potential audit findings.