Does SoonerCare do virtual visits?

The Oklahoma Health Care Authority is allowing expanded use of telehealth beginning March 16, 2020 through the end of the declared public health emergency for services that can be safely provided via secure telehealth communication devices for all SoonerCare members.

How long can a child stay on SoonerCare?

SoonerCare (Oklahoma Medicaid) provides health care services for children covered by SoonerCare from birth through 19 years of age. Children receive a broad range of primary and preventive health services.

Does SoonerCare cover video visits?

Policy. SoonerCare (Oklahoma’s Medicaid program) reimburses for live video when the GT modifier is billed and the proper documentation to include services rendered, location and services provided via telemedicine is maintained.

Does Oklahoma allow telemedicine?

Oklahoma requires a physician-patient relationship in order to prescribe via telemedicine. Written patient consent is required prior to the delivery of any telemedicine services. Practicing medicine in Oklahoma requires a full Oklahoma medical license, except in cases of P2P (physician to physician) consultation.

What is the healthy adult program on SoonerCare?

In June 2020, the Oklahoma Medicaid Expansion Initiative passed by a majority vote to expand Medicaid eligibility to adults ages 19-64 whose income is 138% (133% with a 5% disregard) of the federal poverty level or lower. Adults began applying for SoonerCare on June 1, 2021.

Can SoonerCare be used in another state?

Medical care needed due to an accident or medical emergency while a member is travelling in another state is still eligible for compensation once medical necessity is determined. Single-case agreements and contracts will not be allowed under the rule changes.

What ages does SoonerCare cover?

​SoonerCare, Oklahoma’s Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability.

What is the income cap for SoonerCare?

On June 30, 2020, Oklahomans voted to expand SoonerCare eligibility to adults ages 19-64 whose income is 138% of the federal poverty level or lower through Medicaid expansion. This change equates to an estimated annual income of $17,796 for an individual or $36,588 for a family of four.