MedicaidCoverageMedium impact
Provider Letter 2022-02: Soon-to-be-Sooners Dental Benefits
Oklahoma SoonerCare·OK · Dentistry, OB-GYN·Provider Letter
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Effective January 1, 2022, Soon-to-be-Sooner members (pregnant women in Oklahoma Medicaid) are now eligible for limited dental benefits when medically necessary for the unborn child's health. Providers can now bill for certain diagnostic, preventive, and periodontal dental services to this specific population.
Action Required
Immediately: Billing team must access the Oklahoma fee schedule at https://oklahoma.gov/ohca/providers/types/dental/dental.html to identify qualifying procedure codes for Soon-to-be-Sooner members. Update billing system to allow dental procedure billing for STBS/STBS-M members when medically necessary for unborn child. Train staff to verify member eligibility and document medical necessity for dental services.