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  • Oklahoma Client Data Core

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OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES CLIENT DATA CORE SECTION I Agency No. Satellite No. Time Military CLIENT RACE 1 Yes for all that apply/Blank No White Asian American Indian Native Hawaiian or Other Pacific Islander Transaction Type Contacts 21 25 27 23 40 41 42 60 61 62 63 64 65 66 67 68 69 70 71 72 Service Focus 01-22 Birth Year Client ID SCREENING AND OTHER INFORMATION 1 Pos/ 2 Neg/ 3 Not Admin 1 Yes/ 2 No PRIMA.

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How to fill out the Oklahoma Client Data Core online

The Oklahoma Client Data Core is an essential document for gathering client information in a mental health and substance abuse context. This guide will provide clear, step-by-step instructions for completing the form accurately and efficiently.

Follow the steps to successfully complete the Oklahoma Client Data Core

  1. Click ‘Get Form’ button to access the Oklahoma Client Data Core and open it in your preferred editor.
  2. Begin with Section I, starting by entering the agency number and satellite number as required.
  3. Indicate the time in military format. Next, select applicable options for client race and indicate ethnicity by marking the boxes as necessary.
  4. For screening information, choose appropriate responses for tobacco use and mental health screening. Additionally, provide details regarding primary and secondary referrals.
  5. Input the county of residence and zip code, particularly noting to use '99999' for individuals experiencing homelessness.
  6. Move on to Section II, enter the client's Social Security number, and indicate language proficiency by marking the relevant checkbox.
  7. In the current residence section, select the type of housing situation that best describes the client’s living conditions.
  8. Outline the client's employment status, including the type of employment, if any. Also, denote whether the client is currently in school.
  9. Fill out marital status and pregnancy information, and indicate if the client is currently incarcerated.
  10. Provide annual income details and verify answering questions regarding Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI), along with insurance information.
  11. In Section III, complete the client's legal status, presenting problem, and other relevant fields related to their clinical history.
  12. Ensure to fill existing questions on familial information, referrals to community services, and any support system.
  13. Finally, review all sections of the form to ensure accuracy before saving your changes, downloading, printing, or sharing the completed form.

Complete your documents online for efficient and professional processing.

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The Military Health System has many resources available to help any service member, families, or veteran beneficiaries who are struggling with mental health challenges.

A basic package of primary and preventive behavioral services, such as screenings for depression, anxiety and substance abuse is available to every SoonerCare member without prior authorization for services delivered by a Patient-Centered Medical Homes, Indian/Tribal/Urban (I/T/U) Clinics, and Federally Qualified ...

Mental health treatment benefits for those enrolled in Oklahoma Medicaid include inpatient acute care, crisis stabilization and medical detoxification. Children may also receive services in psychiatric hospitals and psychiatric residential treatment facilities (PRTF) as well as residential behavior management services.

SoonerCare is Oklahoma's Medicaid program, and the Oklahoma Health Care Authority (OHCA) is the state agency that administers it. The health care needs of Oklahomans can be many and complex. SoonerCare offers various health benefit packages to accommodate our members in the most fiscally responsible way.

The Oklahoma PACT Model The program reaches clients that traditional services can't seem to engage. A major goal of PACT is to reduce the need for inpatient care by providing assistance with basic needs, increasing medication compliance, keeping families together, and securing competitive employment.

Filters BenefitCoverageAmbulance or Emergency TransportationCoveredChild Health Wellness ScreensN/ADental ServicesCoveredDiabetic SuppliesCovered6 more rows • Jan 13, 2023

Payment is made to physicians for medical and surgical services for members under the age of twenty-one (21) within the scope of the SoonerCare program, provided the services are medically necessary for the diagnosis and treatment of illness or injury, or to improve the functioning of a malformed body member.

Possible covered services Ambulance. Ambulatory Surgery Center services. Behavioral health and substance abuse services (outpatient) Case management services. Chemotherapy and radiation therapy. Child Health. Clinic services including renal dialysis services. Dental services (limited for adults)

Contact us anytime Monday-Friday from 8:30 a.m. – 5 p.m. at (918) 585-1213, (405) 943-3700 or using the form below. * For emergencies, dial or text 988 for the national suicide and crisis lifeline.

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
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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