SoonerCare Member Memo - Summer 2019

Summer and fall agency closures, returned mail rule, changes in household circumstances, important pharmacy updates and back-to-school immunization reminder. 

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Member Memo

Summer 2019

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Agency Closures

Close up of calendar displaying Martin Luther King, Jr. Day

OHCA offices will be closed on the following dates, as they are observed as holidays by the state of Oklahoma:

  • September 2, 2019 – Labor Day
  • November 11, 2019 – Veterans Day
  • November 28-29, 2019 – Thanksgiving

We will be happy to assist you during our regular office hours.

Thank you.

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Returned Mail Ruling: What You Need to Know

Returned Mail Rule

A new rule requires SoonerCare members to keep their home addresses up-to-date with the agency. Members who fail to do so risk losing their SoonerCare eligibility after outreach efforts are made by the agency to locate a current address.

Aside from outreach efforts through social media and provider education, notice will also be posted to the member’s online SoonerCare account. The agency is beginning an out-bound calling campaign after hours and on weekends to speak to members and update their address. 

The agency is also educating providers, advocates, other state agencies and partners about the importance of an updated address and asking them to encourage members to update their address with SoonerCare.

Residing in Oklahoma is one of the eligibility criteria to qualify for SoonerCare. Returned mail indicates a potential change in circumstance with respect to residency. Therefore, if a member’s whereabouts are unknown and OHCA has made reasonable attempts to verify the member’s current address, OHCA will send a 30-day notice of discontinued eligibility to impacted members by mail and by email, if the agency has an email address on file.

If you are a SoonerCare member and have questions about these changes, please contact the SoonerCare Helpline at 800-987-7767 or visit

If you enrolled through DHS, please contact DHS to make updates to your information. 

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We're dialed-in to your needs

What Works for You? Call the Oklahoma Tobacco Helpline Today!

The Oklahoma Tobacco Helpline offers a variety of FREE services, resources and support to help you quit tobacco your own way. Registrants can receive nonjudgmental support through text, email, phone calls or web coaching. SoonerCare members may receive counseling, as well as prescription and over-the-counter medications to help stop using tobacco.

The following products are free with a prescription from your doctor and they do not count against your six prescription limit per month:

  • Patches
  • Gum
  • Lozenges
  • Inhaler
  • Nasal spray
  • Zyban
  • Chantix (180 days per 12 months)

For more information and to find helpful tips, call 1-800-QUITNOW or visit

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Changes in Household Circumstances

mother sitting with her two kids

Did you know that changes in household circumstances can impact your SoonerCare eligibility?

These changes can include:

  • Returned mail/insufficient Oklahoma address on file
  • Moving/change of address
  • Earned or unearned income
  • Number of people in your household
  • And more!

If you believe you may have had a change in household circumstance, please contact the SoonerCare Helpline at 800-987-7767 and visit with a member of our team to update your information today!

If you enrolled through DHS, please contact DHS to make updates to your information.

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Pregnancy Risk Assessment Monitoring System (PRAMS) Survey

Asian baby with fingers to her mouth

If you’ve recently given birth, you may be chosen to get a PRAMS survey. If so, please respond and share your story! Just 20 minutes of your time will help babies and mothers in Oklahoma.

  • The survey will come in the mail or you may get a call from 405-271-0000.
  • Topics include health (before, during, and after pregnancy), breastfeeding, life stressors, and more. 
  • You will receive a thank you item for your time and input.
  • All information is kept confidential.

 Visit the Oklahoma PRAMS website ( to learn more. Thank you!

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Important Prescription Limit Update

Pharmacy Update

Opioid pain relievers can be important in pain management, but they can also be easily misused or abused. To help protect Oklahomans from opioid misuse, we’re phasing in some new opioid strength (morphine milligram equivalent, or MME) limits for prescriptions covered by SoonerCare.

As of July 22 opioid prescriptions are limited to 100 MME per day or less. Over 100 MME will require prior authorization. 

Not sure if this affects your prescription? Call your prescribing physician or the SoonerCare Pharmacy Help Desk at 800-522-0114.

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Prior Authorization No Longer Required for Some Medication-Assisted Treatment Products

If you are undergoing medication assisted treatment (MAT), you might not need to secure prior authorization for these prescriptions:

  • Suboxone® (buprenorphine/naloxone SL films) - BRAND PREFERRED
  • Buprenorphine/naloxone SL tablets - GENERIC ONLY
  • Vivitrol® (naltrexone injection)
  • Single ingredient buprenorphine tablets (pregnant members only)

Have questions? Visit or call the SoonerCare Pharmacy Help Desk at 1-800-522-0114, option 4. 

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Remember Back-to-School Immunizations

Back to school immunizations

As your family is gearing up for the start of school, don’t forget that immunizations (shots) are an important part of your child’s health care! If your child is on SoonerCare, all of their shots are covered through the EPSDT program.

Click here to find out which shots your child may need and call your doctor to schedule an appointment for your child’s shots before school starts.

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Our vision is for Oklahomans to be healthy and to have access to quality health care services regardless of their ability to pay.

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