OHCA has directed significant additional resources to increase processing capacity. Those efforts are paying off as we have nearly eliminated the backlog to date. We remain on track to return contracting reviews to normal processing times this month. We appreciate your continued patience and partnership as we work to create a timelier and more responsive contracting experience for providers. 

Starting on Jan. 1, 2027, a new federal law (H.R. 1, the One Big Beautiful Bill Act) requires some SoonerCare members ages 19-64 to work, go to school or help in their community. This will ensure those members keep their SoonerCare health coverage. Members who will be impacted have received a yellow letter in the mail from SoonerCare.

Please advise impacted patients to make sure their information is up to date in the MySoonerCare.org member portal. Tell them to watch for additional instructions that will be mailed from SoonerCare or the Oklahoma Health Care Authority. 

Order a Free Poster

A poster advising members of next steps is now available to order for your office or clinic. Visit the OHCA publications page to order your free copies in English and Spanish.

Members can visit OHCA's Work Requirements webpage to find resources related to job fairs and hiring events, job preparedness workshops, training services and more.

Early childhood caries is the most common chronic childhood condition, and it is largely preventable. Cavities and tooth decay in early childhood are five times more common than asthma and seven times more common than hay fever. When used at least twice a year, fluoride varnish reduces dental decay by a third. Find more information and guidance on implementing fluoride varnish in routine patient care.

SoonerCare has added coverage of vitamin B6 (pyridoxine) for members receiving carbidopa/levodopa products following a recent U.S. Food and Drug Administration (FDA) safety communication requiring new warnings for all carbidopa/levodopa products. The warnings are based on the findings that these medications can deplete B6 levels, potentially leading to seizures, depression, confusion, neuropathy, and other complications.

Health care professionals should evaluate baseline B6 levels before carbidopa/levodopa treatment, monitor periodically during therapy, and supplement as needed. An analysis of SoonerCare paid claims indicated that nearly half of all members who recently received carbidopa/levodopa also received an anticonvulsant, highlighting the importance of monitoring for B6 depletion as a potential cause of seizures in this population. These patients should not take B6 on their own without monitoring blood levels, since levels that are too high can be dangerous as well.

Members with SoonerCare or SoonerSelect paid claims for carbidopa/levodopa may receive covered B6 products, up to 500mg/day, and up to a 90-day supply, without prior authorization (PA), to align with the current 90-day coverage of carbidopa/levodopa products. Doses greater than 500mg per day may require a PA and will only be considered when supported by laboratory values. Covered B6 products are available on OHCA's Covered OTC Drug List.

Questions about SoonerCare pharmacy benefits? Contact the SoonerCare Pharmacy Help Desk at 405-522-6205, option 4, or toll-free at 800-522-0114, option 4.

Questions about SoonerSelect pharmacy benefits? Contact the pharmacy help desk associated with your member’s health plan.