Home > Providers > Types > Dental Dental Prior Authorization Request for prior authorization should be filed on the ADA 2006 claim form accompanied by sufficient documention, i.e., study models (where indicated), radiographs to substantiate need and documentation that the requested services would be within the scope of the OHCA Dental Program. They turn…. The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. Apply to the latest jobs near you. In 2019 the Oklahoma legislature passed HB 2341, which limited SoonerCare members’ services to in-state providers when possible. Jennifer Wynn I might miss an appointment,my fault. Authority (“OHCA”) as a dental group provider and as a mobile and/or portable dental treatment facility. My three year old has two cavities and I did not know what to do- went to another dental office and they wanted to put my daughter to sleep - I…, From Business: *Complete Dental Services For All Ages *Emergencies & New Patients Welcome *Financing Available, Cory (hope l'm spelling her name properly) was so warm and easy going with an anxious child. 3150 East 41st Street, Ste.100 Tulsa, OK 74105. You may search for a provider by name, facility, or specialty. The providers listed in this directory care about you and your situation, and they do all they can (given limited resources) to meet the tremendous need for free and low-cost dental services throughout Oklahoma. See reviews, photos, directions, phone numbers and more for Dentists Accepting Soonercare locations in Shawnee, OK. Sooner Dental Care (918) 742-1480 3150 East 41st Street, Ste.100 Tulsa, OK 74105 Improved drugs used by dentists. Latest News from. Last Name: First Name: Facility: Specialty: select. The new application will allow you to search by plan, provider name, facility, specialty, state and city. You may find instructions on our Training Page. 4320 S Sunnylane Rd, Oklahoma City, OK 73115, 2828 Parklawn Dr, Oklahoma City, OK 73110, 9801 S Pennsylvania Ave, Oklahoma City, OK 73159, 3727 NW 63rd St Ste 310, Oklahoma City, OK 73116, 6510 S Western Ave Ste 201, Oklahoma City, OK 73139, 11016 Quail Creek Rd, Oklahoma City, OK 73120, 4500 Memorial Cir, Oklahoma City, OK 73142, 4520 Market Place Blvd, Shawnee, OK 74804, 13301 N Meridian Ave Ste 702, Oklahoma City, OK 73120, 4300 N Meridian Ave, Oklahoma City, OK 73112. Please contact the business for updated hours/services due to the COVID-19 advisory. OHCA’s dedicated staff within Dental Unit/Provider Services will assist dental providers with questions regarding prior authorizations. She has over 10 years of clinical experience in both private practice and with the Cherokee Nation. Dr.Toft is the best doctor…, Very happy! Dental Depot is proud to be your preferred SoonerCare provider. Please use the new Provider Directory to search for contracted providers. Effective Dec. 1, OHCA will open coverage for COVID-19 related lab services CPT 87636 and 87637 (see code descriptions below). SoonerCare Traditional is a fee-for-service plan with a statewide network of providers that includes hospitals, family practice doctors, pharmacies and durable medical equipment companies. 405-522-7306, SoonerRide - Non-emergency transportation Read on to learn about SoonerCare Dental’s coverage, as well as why you should choose Kool Smiles as your child’s dentist. OHCA implemented a new electronic process for these claims which are now submitted through the provider portal. Welcome back. Dr. Hanstein is a true artist in precision dentistry. Nice staff and doctor and put me at ease! CNET. My whole family go there. Crews are still working to restore the phone lines and the building remains closed due to power outages. This information is designed to assist the providers with submitting prior authorization requests (PAR) correctly the first time. Dental Clinics Dentists Oral & Maxillofacial Surgery Dental Hygienists 4520 Market Place Blvd, Shawnee, OK 74804 Website See Special Offers Directions Video More Info SoonerCare Language; Provider Resources; Home > Providers > Claim Tools. And the soonercare dental is directly related to dental services. Would defiantly recommend. Please note that providers are notified via the OHCA Provider Portal as to whether services are denied or approved. Oklahoma City Kid's Dentist Crocodile Smiles Children’s Dentistry is proud to serve the children of Oklahoma City and the surrounding Oklahoma towns and countyside eg: Norman, Moore, Edmond, Guthrie, Mustang, Yukon, El Reno, Midwest City, Choctaw, Shawnee, Noble, Blanchard, Chickasha, Newcastle, Tuttle, Minco, and beyond. Medicaid provider Soonercare provider. SoonerCare Language; Provider Resources; Home > Providers > Types > Dental. 405-522-7188, Pharmacy Help Desk Previously, the OHCA has only been able to offer dental exams, cleanings and restorative services for children. All other marks contained herein are the property of their respective owners. Last Name: First Name : Facility: Specialty: select. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. SoonerPlan is Oklahoma’s family planning program for women and men who are not enrolled in regular SoonerCare services. Providing excellent general dental care is the first step to ensuring our patients achieve this goal. Metacritic. Find 1328 listings related to Dentist That Take Soonercare in Tulsa on YP.com. June 16, 2015. provide health and medical policy information to Medicaid consumers and providers, administer SoonerCare and other health related programs. OHCA 2006-10 August 2, 2006 Dear Provider: The Oklahoma Health Care Authority Board approved changes to the SoonerCare Dental rules. SoonerCare Language; Provider Resources; Home > Providers. Dr. Roubik and his staff are very professional, courteous and provide the very best. Staffs are amazing, so caring and helpful. To make a public comment at an OHCA Board meeting or a Medical Advisory Committee (MAC) meeting, you may sign up by writing once the agenda is posted and no later than 24 hours before the meeting. Highly recommended!!! This website provides important information about the Medi-Cal Dental Program for members and providers. OHCA Chief Dental Officer. Annual Dental Visit 47 2-25 SoonerCare Choice HEDIS Trends – Adult Access to Preventive Services 48 2-26 SoonerCare Choice HEDIS Trends – Adult (Multiple) 48 2-27 SoonerCare Choice HEDIS Trends – Diabetes 49 OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as … B. General Family Dentistry & Orthodontics Open Mon-Friday 8 am-6 pm By Appt. The changes include the following: • Comprehensive oral evaluation. He has the experience and knowledge to give any person top quality and personable treatment…. Office staff is…, I have been going to this office for 18 years. That is … 2123 W Memorial Rd, Oklahoma City, OK 73134, Excellent care,,,very thorough and I trusted Dr Sullivan...extremely talented and skilled. Discover the resources available to providers on the OHCA public website (www.okhca.org). 317:30-3-65.8 if Provider renders services to members under the age of twenty-one (21), including: i. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. In exchange for this service, each PCP is prepaid a fixed monthly capitated payment for care coordination. If you are a Pharmacy that would like to be included on the DME provider list please send an email to: Pharmacy. Soonercare Dental Providers . “Preferred” listings, or those with featured website buttons, indicate YP advertisers who directly provide information about their businesses to help consumers make more informed buying decisions. Paid Claim Adjustment Request for Crossover Part B, Dental, CMS 1500 HCA-17 *The HCA-17 form is no longer effective as of Jan. 1, 2021. OHCA implemented a new electronic process for these claims which are now submitted through the provider portal. DME Providers. 800-522-0114 I didn't have to wait in the office. CBS News. • Vision services for children. Follow OHCA today to stay up-to-date! • Services provided to a Native American at an IHS/Tribal. OHCA’s SoonerCare Provider Directory is a listing of all contracted providers. "", From Business: Dr. Trena K. Stewart is a dentist in Oklahoma City, Oklahoma. As shown below in Exhibit 1, which separately reports Comanche, Tillman and total numbers, this resulted in the retention of about one-quarter of the total file, in terms of member months1. Development of dentistry and soonercare dental. Bragg also serves as a liaison between the state agency and its dental providers. OHCA currently has 1,396 dental providers in their network, providing some one-million members access to dental care benefits. For a current list of copay amounts that providers are allowed to charge, please refer to the following chart, visit the OHCA SoonerCare Benefits website or contact the Sooner Care Helpline at 1 … See reviews, photos, directions, phone numbers and more for Dentist That Take Soonercare locations in Tulsa, OK. PCPs manage the basic health care needs, including after hours care and specialty referral of the members on their panel. The mechanisms and equipment used … She claimed to be an "expert" with my insurance company, told me they would cover a procedure, then when they did not she sued…, She and her staff are the best, they are friendly and professional. When providers are performing medically necessary polymerase chain reaction (PCR), laboratory testing for combinations of COVID-19 and Influenza A&B, or combinations of COVID-19, Influenza A&B and RSV, these are the appropriate codes to bill. Prior to his OHCA employment, Dr. Bragg served as Assistant Professor in Operative Dentistry and Dental Materials at the University Of Oklahoma College Of Dentistry. 3. A letter is also mailed to the member’s family. State: City: select. From Business: A company 2821 NW 58th St, Oklahoma City, OK, that specializes in Dentists, Dental Clinics, Oral Maxillofacial Surgery, Dental Hygienists. (Rick Snyder) The retained SoonerCare population actually fell into categories – Indian Health Service (IHS) SoonerCare beneficiaries and others. They will not impact routine medical care for SoonerCare members. Classen Family Dentistry, PC, Tim Kirby DDS, Crocodile Smiles Children's Dentistry-Liz Kellner DDS & Assoc, Oral & Facial Surgery Of Oklahoma-Dr. Craig Wooten DDS, Dr Robert Bryan DDS - Oral Surgery Specialist of Oklahoma, Sue Beth Aber DDS / Reed Perryman DDS Bee Smiles PLLC. During his time there he completed a Master of Education degree from the University of Central Oklahoma and graduated from the … OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as … Only Call For More Information, Cosmetic, Implant, Restorative & Invisalign Dentistry Serving Oklahoma?s Families Since 1981, Currently Open for Routine and Emergency Care, How much it cost for gold teeth to be put in, If I don't want a root canal but want an implant does badger care…. The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. Sign in to save Dental Director - Oklahoma Medicaid (SoonerCare) (44968) at LIBERTY Dental Plan. Explains as she's working, gentle.…, My daughter loves going to the dentist now!! There are two types of clinics/programs listed – free and low-cost. 2-14 SoonerCare Choice HEDIS Trends – Annual Dental Visit Members under 21 33 2-15 2-16 2-17 SoonerCare Choice HEDIS Trends – Breast/Cervical Cancer Screening SoonerCare Choice Avoidable Hospitalization Rate SoonerCare Choice Post-Discharge PCMH Follow-up Visit Rate 34 35 36 Cost Effectiveness 2-18 SoonerCare PMPM Health Expenditures 38 At Sooner Dental Care our passion is providing our patients the dental treatment and education they need to live long, healthy lives. I was completely comfortable walking in and out of the office. Members choose from contracted providers to receive any of these services. OHCA implemented a new electronic process for these claims which are now submitted through the provider portal. Allowed once each 18 month period. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. Bright Smile Family Dentistry, 948 W Hefner Rd, Oklahoma City, OK. 800-652-2010 Toll Free, Nursing Facility Quality Improvement Dr. Luce completed a D.D.S degree in 2001 and a Master of Public Health degree in 2019. The providers listed in this directory care about you and your situation, and they do all they can (given limited resources) to meet the tremendous need for free and low-cost dental services throughout Oklahoma. The OHCA is implementing the Perinatal Dental Access Program for pregnant women enrolled in the SoonerCare (Traditional, Choice or O-EPIC Individual Plan) programs. Dr. Dais has done all of our recent work. Forms Attention: The HCA-17 form will be removed and no longer effective on Jan. 1, 2021. Guidelines. He is AWESOME! PROVIDER SEARCH Please select your plan. There are two types of clinics/programs listed – free and low-cost. Wednesday, December 16: You may experience intermittent connectivity to the Oklahoma Health Care Authority website between 4 p.m. and 10 p.m. We apologize for any inconvenience this may cause. The rule changes have been approved by the Governor and are being implemented effective immediately. If you are interested in becoming a SoonerCare provider, please contact our Provider Enrollment unit at (800) 522-0114, option 5. 800-522-0310 877-252-6002 TTY You may search for a provider by name, facility, or specialty. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria. Please use the new Provider Directory to search for contracted providers. Please select a search option below. He is…, always kind & caring, very professional l& thorough. We are offering two training webinars on Dec. 29 about this new process and how to submit HCA-17 claims. They knew how to treat and make it the most comfortable for her. To have in force dental malpractice insuranceexcept if Provider is covered by the Federal or State Tort Claims Act. SoonerPlan is Oklahoma’s family planning program for women and men who are not enrolled in regular SoonerCare services. Each individual dentist performing services at a mobile and/or portable dental treatment facility is an individual dentist who has executed a current individual dentist provider agreement. Learn about salary, employee reviews, interviews, benefits, and work-life balance Dr. Corbin did some work on me when Dr. Dempsey was busy and I was very happy with his patient skills and attention to detail. enrolled in SoonerCare. My daughter followed me there and recently my brother. YP advertisers receive higher placement in the default ordering of search results and may appear in sponsored listings on the top, side, or bottom of the search results page. The goal of MAU is to streamline the PAR process while maintaining compliance with OHCA, state and federal policy and rules. OHCA Provider portal page - find information relevant to your provider specialty, updates, billing tools, fee schedules, and much more. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Any SoonerCare provider who offers family planning may participate in this program. If you are a contracted provider and have not received your Internet PIN letter, please call our Internet Help Desk at (405) 522-6205 or (800) 522-0114, select option 2, then option 1 to request your PIN. Dr. Carel AND his staff are top notch! select. See reviews, photos, directions, phone numbers and more for Soonercare Dentists locations in Lawton, OK. ZDNet. YP, the YP logo and all other YP marks contained herein are trademarks of YP LLC and/or YP affiliated companies. S. oonerCare. 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