Oklahoma Application Service Provider Agreement
Description
How to fill out Application Service Provider Agreement?
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FAQ
The OKDHSLive! web site is an easy way to see if you might be eligible for Food Benefits or SoonerCare Medicaid. You may also use this web site to renew your eligibility for SNAP, SoonerCare or Child Care: or to request (apply for) these benefits.
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.
Medicaid in Oklahoma is called SoonerCare.
Member or Applicant with questions about SoonerCare? For assistance with the Online SoonerCare Application or other questions or concerns about SoonerCare, please call the SoonerCare Helpline at 800-987-7767.
Contact Details Organization Type:State Medical Assistance OfficeOrganization Description:Medicaid programCovered States and Territories:OklahomaInformation:Toll Free: (800) 987-7767 Local: (405) 522-7171 Fax: (405) 522-7100 Web Site: Hours: am - pm1 more row
CHANGE OF OWNERSHIP 1. Obtain re-certification as a title XVIII (Medicare) facility under the new ownership, if applicable. 2. Complete new Medicaid provider enrollment packets for each provider number affected by the Change of Ownership.
SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources.
The SoonerCare patient dismissal process for SoonerCare Choice providers is fully electronic and can be completed using OHCA's secure provider portal. Who can submit the patient dismissal request?