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October 2023
SoonerCare eligibility reviews are continuing. It is important to make sure your information is up to date. Members who are still eligible for coverage but do not have their information up to date could lose their benefits. Please confirm your information and documentation as soon as possible. Some items you may need to update include:
- Household income
- Contact information (address, email address, phone number, etc.)
- Number of people living in your household
- Social Security number(s)
- Missing documents
It is very important to make sure OHCA has the right address for you. That way we can reach you with important information about your SoonerCare benefits. If you receive a letter, email or text message from OHCA saying we are missing information, please respond immediately. You can update your account at MySoonerCare.org.
When you update your email address, consider receiving electronic updates and letters. This will help with the nationwide paper and envelope shortage.
Most SoonerCare members will get their health care services covered in a new way next year – through health and dental plans.
If you’re an eligible SoonerCare member moving to SoonerSelect, open enrollment periods are coming soon. You will be asked to pick one dental plan and one health plan. If you do not pick a plan, the Oklahoma Health Care Authority will pick one for you.
The enrollment periods are:
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Dental Plan Open Enrollment
December 1, 2023 to January 10, 2024
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Health Plan Open Enrollment
February 1 to March 10, 2024
When enrollment opens, you will be asked to view the plans and compare benefits. Then, find a plan that fits. You’ll get the same health care services offered by SoonerCare, but some plans may offer extra benefits to help you improve your health.
If you have a dentist or doctor you want to keep, you should pick a plan that has your provider in the plan’s network. You will be able to access each plan’s provider directory on the SoonerSelect web page.
Watch your mailbox for more information coming soon. If you have questions, visit the SoonerSelect FAQ page.
Need Customer Service Help?
We encourage you to visit our new self-service page. You'll find answers related to SoonerCare renewals, case updates, document submissions and what documents are acceptable. The page also offers FAQs and how-to videos. It can help answer your questions or improve your customer service experience.
If you have more questions or need help, please call the SoonerCare helpline at 800-987-7767. For faster help, call when wait times are usually shortest, between 8-10 a.m. and 1-3 p.m.
OHCA has partnered with Unite Oklahoma, a supportive network of community-based groups and health care providers. Unite Oklahoma offers extra resources to SoonerCare members transitioning off of or recently disenrolled from SoonerCare coverage.
Are you a community member looking for food, housing, transportation, peer support or other services? Fill out the secure form on the Unite Oklahoma website.
Flu and COVID vaccines are available to SoonerCare members ages 19 and older. They are available through both the prescription drug and the medical benefits. Vaccines given by pharmacies do not count against the monthly prescription limit. Members ages 18 and younger must receive the flu or COVID vaccine through a federal Vaccines for Children program provider.
The RSV vaccine is recommended for certain groups:
- All infants should be protected against severe RSV illness by either an RSV vaccine given to pregnant people at least two weeks before delivery, or a preventive antibody shot given to infants after birth.
- Some children aged 8 months to 19 months at increased risk for severe RSV disease are also recommended to receive the RSV antibody shot.
- Adults 60 years and older also may receive one dose of RSV vaccine and should talk with their healthcare provider about whether RSV vaccination is right for them.
Flu, COVID and RSV vaccines may be given at the same visit. There is no copay for any of the vaccines.
OHCA asks all Oklahoma parents affected by SoonerCare renewals to check their children’s SoonerCare status. Even if your coverage has ended, your children could still be eligible. Some coverage could have ended due to a procedural denial. This can include not turning in documents or not completing the renewal process. But they may still be eligible for SoonerCare.
If members have lost eligibility and are reapproved within 90 days of the last day of coverage, OHCA will backdate coverage so there is no gap in care. Log in to MySoonerCare.org or call the SoonerCare helpline at 800-987-7767 to make sure your information is up to date.
What is ADHD? ADHD is Attention-Deficit/Hyperactivity Disorder. It's one of the most common childhood mental health conditions and affects nearly 1 in 10 children. Adults can have it too. There is no cure for ADHD, but it is treatable. Children with ADHD who are ages 11 and younger should usually get two kinds of treatment and support. They need medication, and their parent needs training in behavior management.
It’s extra important for young children ages 4-5 to start with parent training. Medication could be added to the training if needed. One type of training is parent-child interaction therapy. The University of Oklahoma Child Study Center keeps a list to help parents find nearby providers. Also, most children with ADHD will be eligible for special school services.
If you have medication coverage questions, including those related to ADHD, contact the Pharmacy Help Desk. Call 405-522-6205, option 4, or toll-free at 800-522-0114, option 4.
Doulas, or birth workers, are trained professionals. They provide support services during pregnancy, delivery and postpartum periods. They do not provide medical care.
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Emotional, physical and informational support
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Prenatal advice and help with creating and carrying out birth plans
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Speaking on behalf of the parent-to-be during appointments
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Access to resources that can improve birth-related outcomes
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Ongoing education with a focus on postpartum care and resources
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Support for the whole birth team (partner, family members, other support persons, etc.)
Many parents think a sports physical and a well-child checkup are the same, but they are different. A well-child checkup includes the exam required for a sports physical and much more. It offers information like health history, growth measurements and blood pressure. Plus, there are screenings for development and behavior.
A well-child checkup and a sports physical can be done in just one visit! Call your child’s doctor today to schedule a checkup. And don’t forget to bring the required sports medical forms to your child’s appointment.
Postpartum coverage provides health care services after a pregnancy ends. Extended postpartum can help lower the risk of pregnancy-related deaths and complications for the mother. It can also help with ongoing care for chronic conditions such as diabetes, high blood pressure, heart disease, substance use disorder and depression.
If you are in the SoonerCare for Pregnant Women program, you will get full Medicaid benefits for 12 months postpartum. To get postpartum coverage for 12 months, you must tell SoonerCare when one of the following occurs:
- When you become pregnant
- If your due date changes
- When your pregnancy ends
You might have heard that e-cigarettes are a safe way to smoke. That is not true.
Studies show that the vapor from e-cigarettes can harm your lungs. The vapor contains chemicals found in things like car exhaust and weed killer. Even products labeled as nicotine-free can contain nicotine. Nicotine is highly addictive and can harm your heart and brain. And just as secondhand smoke is dangerous to those around you, so is secondhand vapor.
The FDA has not approved vaping for tobacco cessation. Your SoonerCare benefits give you access to FDA-approved patches, gum, lozenges, an inhaler and nasal spray. Plus, bupropion (aka Wellbutrin), and varenicline (aka Chantix). These do not count toward your six-prescription limit. Ask your SoonerCare provider for help with quitting smoking. You can also contact the Oklahoma Tobacco Helpline. They offer support, improved resources, and one-on-one coaching through texts or calls.
Is keeping your blood sugar level at a normal range a challenge? Could you use support? SoonerCare offers a benefit that will allow you to receive education on this challenge or others you may have. Ask your doctor if you qualify for the diabetes self-management education and support benefit, and request a referral today.
Lung cancer is the leading cause of cancer death in America. But it often goes undetected until it’s too late. You have the power to change that. Are you between 50-80 with a 20-pack-year history (that’s one pack a day for 20 years or two packs a day for 10 years)? If so, and if you are a current smoker or have quit within the last 15 years, you are considered “high risk.”
A low-dose CT scan is recommended for you that gives a detailed look inside the lungs. It can help detect cancer early when it’s more likely to be curable. For more information or to discuss your eligibility, talk to your SoonerCare provider today.
OHCA has been sending surveys to a sample of SoonerCare members. We are working to make your member experience the best it can be. If you get a survey, use the provided link or phone number to take the survey. The survey is available in English and Spanish and takes just a few minutes to complete.
Use this guide to help you decide what documents to send for your SoonerCare application. The chart shows all the categories that may apply (income, residency, etc.). It also lists the types of documents that OHCA will accept. Sending in the right documents can help speed up the verification process.
Oklahoma ABLE Tech provides gently used durable medical equipment to SoonerCare members and other Oklahomans. You can donate your no-longer-used devices to ABLE Tech or get devices from them. Learn about all ABLE Tech offers and how technology can help you live independently.
For SoonerCare to fulfill your request, please make sure spam blocking is turned off on your phone. Sometimes when we return a call, it can show up as spam. Our phone number may also come up as a Colorado or Florida number on your caller ID.
About OHCA
Please call the SoonerCare helpline at 800-987-7767 if you have questions about your coverage or benefits. For updates on new policies, health tips, helpful resources and more, follow OHCA on Facebook and Twitter. The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services.
 
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