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Oklahoma SoonerCare

  • Oklahoma SoonerCare (modified: 4 years ago)
    Oklahoma requested a three-year extension of the SoonerCare demonstration which provides authority to operate a Primary Care Coordination Network (PCCM) for mandatory and optional Medicaid beneficiaries. The demonstration also covers expansion groups that include non-disabled working adults, working disabled adults, parents of children in state custody, employees of not-for-profit organizations and full-time college students ages 19-22 through the Insure Oklahoma Premium Assistance program. Besides updating the evaluation for the requested extension period, the state has requested only technical corrections. The federal public comment period will be open from February 9, 2015 through March 11, 2015.
  • Oklahoma SoonerCare - Amendment Request (modified: 1 year ago)
    On August 2, 2017, the Oklahoma Health Care Authority submitted an amendment to their section 1115 demonstration, "SoonerCare." The state is requesting expenditure authority for payments made to four-year public universities in order to provide the universities funding for students enrolled in academic programs that license healthcare workers. The federal comment period will be open from August 17, 2017 through September 16, 2017.
  • Oklahoma SoonerCare - Amendment Request (01/18/2018) (modified: 1 year ago)
    Oklahoma proposes to amend its demonstration in order to add supplemental payments to Oklahoma public universities and/or federally recognized entities that offer qualified physician residency training programs, and to offer a physician qualified loan repayment program. The federal public comment period will be open from February 2, 2018 through March 4, 2018.
  • Oklahoma SoonerCare - Community Engagement Amendment (modified: 5 months ago)
    Oklahoma proposes to amend its demonstration to add community engagement requirements as a condition of eligibility for certain individuals age 19 through 50. The federal public comment period will be open from December 20, 2018 to January 18, 2019.
  • Oklahoma SoonerCare - Health Access Network (HAN) Amendment (modified: 4 days ago) New
    On June 3, 2019, Oklahoma requested an amendment to their demonstration, titled "SoonerCare", to revise language in the special terms and conditions (STCs) by removing duplicative or no longer applicable language around Health Access Networks (HANs). The federal comment period will be open from June 13, 2019 through July 13, 2019.
  • Oklahoma SoonerCare - Health Management Program Amendment (modified: 3 months ago)
    Oklahoma proposes to amend its demonstration in order to make several changes to its Health Management Program, including providing more options for data analytics, to revise the services section to remove settings limitations and allow for new approaches in practice facilitation to address emerging health trends, and to define a beneficiary's maximum benefit individually. The federal public comment period will be open from March 12, 2019 to April 11, 2019.
  • Oklahoma SoonerCare - SoonerCare 2019-21 Renewal Application (modified: 1 year ago)
    On December 29, 2017, the Oklahoma Health Care Authority (OKHCA) submitted an application to extend its section 1115 demonstration application, SoonerCare, from 2019-2020. Oklahoma plans to continue its demonstration without major programmatic changes. The federal comment period will be open from January 11, 2018 through February 9, 2018.
  • Oklahoma SoonerCare Project #11-W-00048/6 (modified: 3 years ago)
    The state submitted a demonstration amendment request to add Indian Health Service Facilities, Tribal or Urban Indian Organizations (I/T/Us) as sponsors under Insure Oklahoma. This will enable the I/T/Us to sponsor eligible individuals by paying their premiums for health care coverage through Insure Oklahoma. The state proposes to implement this amendment January 1, 2017. The federal public comment period is March 15, 2016 through April 14, 2016.
  • SoonerCare - 2-year extension (modified: 2 years ago)
    Oklahoma requests a 2-year extension of the SoonerCare 1115 demonstration through December 31, 2018, which currently expires on December 31, 2016. The SoonerCare demonstration provides Medicaid beneficiaries with Medicaid state plan benefits including unlimited physician visits (as medically necessary), as compared to the state plan which limits physician visits to four per month, including specialty visits. The demonstration covers non-disabled and disabled working adults, parents of children in state custody, employees of not-for-profit organizations, full-time college students ages 19-22, parents, and non-pregnant, childless adults. Parents and non-pregnant, childless adults whose income is at least 100 percent of the federal poverty limit receive Medicaid state plan benefits through the Insure Oklahoma Premium Assistance program. The federal public comment period will be open from October 13, 2016 through November 12, 2016.