Patient-Centered Medical Home
Medical Home Evaluation Forms
On an annual basis, providers can request one assignment to a new level. OHCA will review the request and, if the reassignment is granted,
the change will be effective on the following January 1. In order to
have a level change effective January 1, of the following year, OHCA
needs to receive your request by September 30, of the current year.
Care Coordination Rates 10/1/19
| |
|
Entry Level
|
|
Advanced Level
|
|
Optimal Level
|
Adult Only
|
|
5.08 |
|
6.63 |
|
8.82 |
Child and Adult
|
|
4.39 |
|
5.73 |
|
7.61 |
Child Only
|
|
3.63 |
|
4.73 |
|
6.28 |
PCP Tools and Resources
Behavioral Health Screenings
Screening and brief intervention is an integral part of preventive health. Time is a critical factor for PCPs. Blended approaches to screening help a great deal in improving the efficiency of a comprehensive effort at prevention. The OHCA behavioral health and substance abuse screening tool can aid in this effort because it is an integrated approach.
Reimbursement
SoonerCare Choice Redesign Goals
- Guarantee the availability of a medical home with a primary care provider for all SoonerCare Choice members
- Enhance patient choice and participation in health decisions
- Assure all members receive all necessary preventive and primary care, including immunizations and health screenings
- Increase the provider network
- Reduce inappropriate Emergency Department visits and hospitalizations
- Realign payment incentives to improve cost effectiveness & quality
- Promote the use of health information systems