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  • Soonercare Provider Enrollment

Get Soonercare Provider Enrollment

Address: Provider ID or NPI: City State Zip 1st Contact Name: Phone: Fax: Email: 2nd Contact Name: Phone: Fax: Email: EDI Vendor: Vendor Type (check one): Software.

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Oklahomans may qualify for SoonerCare Services* if their tax household's Modified Adjusted Gross Income* (MAGI) is within the following guidelines....SoonerPlan. (effective: 4/1/2023) Size of HouseholdMonthly IncomeAnnual Income7$7,949$95,3888$8,850$106,2006 more rows

Choosing a PCP/CM You must call the SoonerCare Helpline to choose your medical home at 800-987-7767. Your SoonerCare benefits will be limited if you do not choose a PCP/CM.

Federal Law Requires Proof of Citizenship and Identity If you are applying for SoonerCare for the first time, you must provide one-time proof of your U.S. citizenship and identity. This flyer explains how to send in that proof. Newborn children (under age one) of SoonerCare members do not have to show proof.

First-time applicants can use the online application to complete an enrollment application and sign a provider contract. Providers who are already enrolled in the SoonerCare Provider program can renew their contract online. They can also: Complete a saved application.

How long does it take to process an enrollment application? A. OHCA should complete the enrollment process within four (4) weeks from the receipt of a completed enrollment application, including all required documents.

The term income is defined as a gross gain or gross recurrent benefit that derives from labor, business, property, retirement and other benefits or sources that are available for use on a regular basis.

Providers with questions about SoonerCare? For immediate assistance with claim research or resolution of other Oklahoma SoonerCare issues, contact the OHCA Call Center: (405) 522-6205 or. (800) 522-0114.

SoonerCare (Oklahoma Medicaid) covers many health care services. However, there are limitations that apply to ensure only medically necessary services are provided. Some services are for children only. The benefits and coverage outlined may change.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232