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Oklahoma SoonerCareMedicaid · Reimbursement · Provider Letter · OKHigh impact

Provider Letter 2026-17: Rates Calculation Correction and Claims Recycling

Effective date
Jul 1, 2026
Identified
Sep 24, 2026

Summary

OHCA identified and corrected a fee schedule calculation error that was implemented July 1, 2026. The Oklahoma Health Care Authority is retroactively adjusting all impacted Title XIX (Medicaid) fee-for-service claims over multiple weeks, with adjustments visible on weekly remittance advice starting September 30, 2026. This correction aligns rates with current CMS fee schedules and is not a methodology change.

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What to do

Action · 6 steps
01Beginning September 30, 2026: Billing team must monitor weekly remittance advice for claims adjustments related to the fee schedule correction.
02Access the Provider Portal weekly to identify which claims are being recycled and adjusted.
03For questions about affected SoonerCare fee-for-service claims, contact the adjustment unit at 800-522-0114 (option 1, then option 3).
04For SoonerSelect plan claims, contact the respective managed care plan directly.
05Monitor the process through completion; OHCA will notify providers when all adjustments are finished.
06Reconcile payment adjustments against original claim submissions to ensure accuracy and identify any payment discrepancies.

Original notice

Provider Letter 2026-17: Rates Calculation Correction and Claims Recycling
oklahoma.gov · Always check the source before changing claims.
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