1115(a) Demonstration Waiver Supplemental Payment Amendment

Pursuant to 42 CFR § 431.408, the Oklahoma Health Care Authority (OHCA) is providing public notice of its plan to submit an amendment to the existing approved 2018 Section 1115(a) extension waiver for the SoonerCare Choice and Insure Oklahoma programs.

The proposed amendment would add supplemental payments to qualified entities for residency training and loan repayment programs in recognition of the higher cost associated with service delivery and physician recruitment and training to maintain sufficient access to quality preventive, primary and specialty healthcare for SoonerCare members.

It is the intent of the Oklahoma Health Care Authority to submit the amendment no later than January 19, 2018 with an effective date on or after March 1, 2018.  The total estimated annual budget impact is one hundred and five million dollars ($105,000,000) of which the estimated state share is forty-three million, five hundred one thousand, five hundred dollars ($43,501,500) which is funded by participating entities.

A public meeting will be held at the following location:

January 18, 2018 at 1:00 p.m.
Medical Advisory Committee             
Ed McFall Boardroom 
Oklahoma Health Care Authority 
4345 N. Lincoln Blvd, Oklahoma City, OK.  

Additionally, a special tribal consultation was held January 12, 2018 at 3:00 p.m. at the above location.

Please view the waiver amendment in its entirety here: 1115 Supplemental Payment Amendment

The OHCA welcomes comments from the public regarding the amendment to the SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver program. The application waiver will be posted online at the OHCA Public Webpage from January 15, 2018 through January 19, 2018. 

Comments and questions may be submitted online at the Policy Change Blog and the Native American Consultation Page or by contacting Bill Garrison, OHCA Federal & State Reporting Coordinator by telephone at 405-522-7914.

Please view additional documents here:

  1.  Budget Neutrality for 1115 Waiver Amendment
  2.  Budget Neutrality for 1115 Waiver Amendment Worksheet
  3.  Waiver Projects Currently Undergoing Application or Amendment




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Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.