August 31, 2016
OHCA Contacts: Jo Kilgore - (405) 522-7474, Jennie Melendez - (405) 522-7404
Health care model advances
OKLAHOMA CITY – SoonerHealth+
has been selected as the name for the fully capitated, statewide model
of care coordination that is being developed for Oklahoma Medicaid’s Aged,
Blind and Disabled (ABD) populations.
Work continues at the Oklahoma Health Care Authority (OHCA) on the Request for Proposal (RFP) for SoonerHealth+ as directed by House Bill 1566, which was passed during the 2015 legislative session. The OHCA is preparing to send the RFP to its federal partner, the Centers for Medicare & Medicaid Services, for review and approval. Upon approval, the agency plans to release the RFP later this year.
Also, the actuarial consultant is determining
payment rates for the program. This work will continue in conjunction with
finalizing the RFP and the CMS approval process.
HB 1566 was passed with the intent of providing
better access to care, improve quality and health outcomes, as well as control
costs for the ABD populations. The OHCA has been conducting regular meetings to
gather information and input from a wide variety of interested stakeholders such as SoonerCare members and providers,
advocates and others.
The next SoonerHealth+ stakeholder meeting is
scheduled Sept. 13 from 2 p.m. to 4 p.m. in the OHCA boardroom, 4345 N. Lincoln
Blvd., Oklahoma City. More information about the project can be found on the
agency’s website at www.okhca.org/ABDCareCoordination.
Medicaid program, known as SoonerCare, is administered by the Oklahoma Health
Care Authority (OHCA). SoonerCare works to improve the health outcomes of
Oklahomans by ensuring medically necessary benefits and services are available
to our members. Qualifying Oklahomans include certain low-income children,
seniors, the disabled, those being treated for breast or cervical cancer and
those seeking family planning services. Insure Oklahoma assists qualifying
adults and small business employees in obtaining health care coverage for
themselves and their families. OHCA strives to educate and engage our current 811,256
members regarding personal responsibilities for their health services
utilization, behaviors, and outcomes in partnership with a state-wide network
of 46,407 providers. For more information, visit www.okhca.org.