SoonerCare 1115(a) Research and Demonstration Waiver Amendment Request Phase-out of the Insure Oklahoma Individual Plan (IO IP) and Revision of Eligibility Criteria for the Insure Oklahoma Employer-Sponsored Insurance (IO ESI) Plan . This client and provider specific PA number will be submitted to the MMIS on a batch basis each week night. Please Print: DOC. This webpage represents 1285892679 NPI record. Interpersonal relationships. EDI# 71064. Tangible benefits for you and your patients. 32 4. the term of this agreement shall expire on june 30, 2013. Numbers fr equently change due to retro-certifications and other factors. Medicaid is a public, or government run, form of health insurance. Submission Information : HealthChoice. Submitted November 16, 2020 Lubbock, TX 79490-6532 P.O. If you are renewing an individual ARNP contract, be sure to log in under the individual number and not under the group number. SoonerCare. Soonercare Online Although there have recently been a bit of partisan arguments to choosing money to ascertain quite often replicate high-risk health care insurance method société, the study the fact that exposed these kind of numbers is from a great unbiased group. The current location address for Warren Clinic Kelly Pediatrics Soonercare Group is 6600 S Yale Ave, Ste 1400, Tulsa, Oklahoma and the contact number is 918-488-6001 and fax number is --. number This rejection indicates that the 3-digit alpha prefix for this patient’s insurance policy number is no longer valid. The discussion throughout this report focuses on the period 2017–2021, during which new adult group costs and savings are expected to grow and then stabilize. • Members who are dually eligible for Medicare and Medicaid. Number of Reproductive Aged Females by Medicaid/SoonerCare Enrollment and Age-group, Oklahoma, 2008 Enrolled in Medicaid Not Enrolled Follow the instructions below to remove the 3-digit alpha prefix: 1. Providers: Please make sure your name and provider number is on the form and correct. If your account is already set up, log in and proceed to Step 6. The program is the only one of its kind to be approved by OHCA. • Members who reside in a nursing home or long-term care facility. NPI record contains FOIA-disclosable NPPES health care provider information. SoonerCare 1115(a) Research and Demonstration Waiver Amendment Request . 5,337 9,847 15,184 Data was compiled on 9/17/2007. Insure Oklahoma's Employer Sponsored Insurance plan helps employers provide their eligible employees with affordable health care. Box 16532. It is designed to provide health insurance for people who are low-income and who cannot afford to purchase a health plan from a private company. Address: 6600 S YALE AVE STE 1400 TULSA, OK ZIP 74136 Get Directions Phone: (918) 488-6001 Please review your NPI data to … SoonerCare Fast Facts August 2007 Adults Children Total New Enrollees Oklahoma SoonerCare members that have not been enrolled in the past 6 months. estimates of SoonerCare costs and savings for the new adult group, and findings from states that have already expanded Medicaid. ODMHSAS will assign a client and provider specific PA number to each approved PA request. 3. provider agrees that all services rendered by provider to soonercare members shall be billed by the soonercare-contracted outpatient behavioral health agency (ies) indicated in provider’s provider information and that provider shall not bill any services individually. Look for and double-click on the encounter that … For all questions about SoonerCare, call the Oklahoma Medicaid phone number at 800-987-7767, Monday through Friday, 8 am to 5 pm. EDI# 71065. If you suffer from chronic sinus pain and ear infections, you don't have to just live with it. This report is based on data within the system prior to 9/17/2007. . SoonerCare 1115 Amendment Request . We know mommin’ ain’t easy, and dad life is real,  that is why we are here to step in when your child gets sick. Understanding their thinking. Number of People Age-group Figure 13. Box 99011. We strive to keep children in the best health of their life, even if it just started! Oklahoma Health Care Authority will be accepting and processing applications for this group.Go to My SoonerCare (opens in a new window) to apply online Yes. CLIA Number: 37D1086922. ....to enhance and extend the SoonerCare Patient - Centered Medical Home (PCMH). Today, the word Sooner is attached to athletic teams in Oklahoma. 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. 2. The NPI Number for Warren Clinic Kelly Pediatrics Soonercare Group is 1457519845. Warren Clinic Kelly Pediatrics Soonercare Group is a Pediatrician (taxonomy code 208000000X) located in Tulsa, Oklahoma. This webpage represents 1841458239 NPI record. relative, foster parent, DHS Caseworker) … Stanbro Healthcare Group is proud of its expertise in the assessment and treatment of children, adolescents, and adults who deal with: Persistently sad or irritable mood. The Agency (Improving Lives Counseling Services, Inc wish es to maintain an open line of communication, giving the client adequate opportunity to express opinions, recommendations, and complaints.. Who May File A Grievance: Any client under the care of any agency or anyone interested in the welfare of a client re ceiving care at any agency (e.g. Fax this form to SoonerCare Helpline at 405-782-8780. Applying for medical assistance for families with a member under 18, caregivers of children under the age of 19 or pregnant women. NPI: 1841458239 Provider Name: WARREN CLINIC MEMORIAL SOUTH PEDIATRICS SOONERCARE GROUP Classification:Pediatrics - 208000000X Entity Type: Organization. Warren Clinic Kelly Pediatrics Soonercare Group's NPI Number is #1457519845 and has been listed in the NPI registry for 12 years. SoonerCare is Oklahoma's state-funded managed care program. Please review your NPI data to ensure that it is correct and to … The number of females reporting SoonerCare coverage prior to pregnancy has not changed significantly since 2000. There is no 24-hour hotline. With approval from the Oklahoma Health Care Authority, the Sooner HAN is creating a network of SoonerCare Providers. For More Information About SoonerCare. Adjusting to stressful or traumatic events. SoonerCare is a collection of Oklahoma health care benefit packages including Traditional (Fee-For-Service Medicaid), Choice (Medical Home), Insure Oklahoma, Supplemental (Medicare Crossover), SoonerPlan (Family Planning) and others. The group got called “Sooners”. Many worries and fears. The NPI Number for Warren Clinic Broken Arrow Pediatrics Soonercare Group is 1992963383. • Advise SoonerCare about changes in status, such as a physician leaving a provider group or clinic. If you are a first-time user or the user name and password information is not available, your Provider ID As medical providers, we make it our business to always stay a step ahead which is why we (See group descriptions above.) 4. Eligible individuals may also participate in the Insure Oklahoma Individual Plan to have affordable health care. SoonerCare is the name given to Oklahoma’s Medicaid program. If you have questions about your PCP change, please contact the SoonerCare Helpline at 1-800-987-7767 . Project Number: 11-W00048/6 . Bill Information: SoonerCare members can call the OHCA Call Tree (Customer Service) at 1-800-987-7767. Detailed data and methods can be found in the Appendix. The 1841458239 NPI number is assigned to the healthcare provider “WARREN CLINIC MEMORIAL SOUTH PEDIATRICS SOONERCARE GROUP”, practice location address at “6600 S YALE AVE STE 1400 TULSA, OK, 74136-3310”. The provider's NPI Number is 1285892679 with a scope of practice of family medicine Group counseling Phone counseling Oklahoma’s adult smoking rate has historically been among the highest in the naion at 23.7 percent (the naional rate is 19.0 percent). Find 433 listings related to Soonercare Pediatricians in Tulsa on YP.com. The inclusion of managed care in SoonerCare 2.0 has been a point of ... that can focus on a select group of providers,” Rains said. Find SoonerCare Therapists, Psychologists and SoonerCare Counseling in Oklahoma, get help for SoonerCare in Oklahoma. program) saw a ive percent drop from 48 percent in • As of July 1, 2014, members were removed from SoonerCare • Report SoonerCare members who “doctor shop” in an effort to get prescription drugs that can be sold to others. Adding New Adults to Patient Centered Medical Home (PCMH) Model & Increasing Care Coordination Rates for Indian Health Service Facilities, Tribal Facilities and Urban Indian Clinics (ITUs) Project Number: 11-W00048/6 The current location address for Warren Clinic Broken Arrow Pediatrics Soonercare Group is 6600 S Yale Ave, Ste 1400, Tulsa, Oklahoma and the contact number is 918-488-6001 and fax number is --. Pediatrician - Tulsa, Tulsa Pediatric Group, 6465 South Yale Avenue Ste 715, Tulsa OK, 74136 - (918) 481-4750 • (918) 481-4755 Fax Happy Tooth - Accepting Most Major Insurance Plans, including Soonercare & Medicaid Email Us Claremore (918) 341-6900 Skiatook (918) 396-7766 Home | About Us | Forms | Patient Education | Insurance Options | Contact Us They will fax the form to SoonerCare for you. 5. A Oklahoma Treatment Center who accepts SoonerCare, may be in network with SoonerCare, or you can make a claim on your SoonerCare insurance as an out of network SoonerCare … Ascension's board-certified otolaryngologists — also known as Ear, Nose and Throat doctors, or ENTs — are leaders in the medical and surgical treatment of a variety of conditions. SoonerCare Provider Enrollment Welcome to the online SoonerCare Provider enrollment application. SOONERCARE CHOICE EXCLUSIONS • Members enrolled in a waiver program. Click Encounters > Track Claim Status. See reviews, photos, directions, phone numbers and more for Soonercare Pediatricians locations in Tulsa, OK. Testing authorizations for this group of providers span 12 months. Learn more about OK's SoonerCare and find the right plan to reduce your out of pocket healthcare costs. Enrollment changes may take up to 45 days. The two names are interchangeable. NPI record contains FOIA-disclosable NPPES health care provider information. 1-800-323-4314. P.O. Lubbock, TX 79490-9011. • Members enrolled in commercial or private insurance (including HMOs and PPOs). months for SoonerCare members, and 12 months for Insure Oklahoma members. If you suspect SoonerCare fraud, waste or abuse, contact the SoonerCare … 1 However, major progress was announced in January 2013: the smoking rate for members of SoonerCare (Oklahoma’s Medicaid . The 1285892679 NPI number is assigned to the healthcare provider “WARREN CLINIC VINITA SOONERCARE GROUP”, practice location address at “6600 S YALE AVE STE 1400 TULSA, OK, 74136-3310”. Select “SoonerCare Secure Site”. SoonerCare members can call SoonerRide at 1-877-404-4500 or the Relay Service at 711 or 1-800-722-0353 (TDD). WARREN CLINIC VINITA SOONERCARE GROUP is a family medicine in Tulsa, OK.