Provider Contracts

If you have questions:

  • Call toll free (800) 522-0114, option 5 for Provider Contracts
    (Hours: 8 a.m. – 5 p.m. Mon., Tues., Thurs., Fri., and 1 – 5 p.m. Wed.)
  • Email us


Change in Methodology for Calculating Care Coordination Fees - Posted 9/15/2017

The methodology used to calculate care coordination fees for SoonerCare Choice and Insure Oklahoma providers is changing starting January 1, 2018. For full details regarding this change, please review our letter here

In order to implement this change, this amendment will need to be signed by all SoonerCare Choice and Insure Oklahoma providers prior to November 30, 2017. The amendment needs to be signed and submitted by fax, or email, to 405-530-3224 or providerenrollment@okhca.org.

If you are a Group, Advanced Practice Registered Nurse, or Rural Health Clinic, this change will be incorporated into your contract renewal, so execution of an amendment is not necessary.

If you have any questions, please call the OHCA Provider Helpline at 1-800-522-0114.




OHCA Policy and Rules - Click to View  


Providers Subject to On-Site Screening Visits

Federal laws require some providers to have on-site screening visits to ensure program integrity as stated in 42 CFR Part 455.

In Oklahoma, an OHCA provider enrollment contracts representative will conduct these visits for providers that are not already screened by another state or federal agency. On-site screening visits may be conducted without prior notification or by appointment.

Upon arrival, the OHCA representative will ask the provider questions, review various aspects of the provider's business and view the facility. (See the General Agreement and Special Provisions per specialty.) Non-cooperation with the OHCA representative could affect the provider's enrollment.