School-Based Services

Claim Tools

• Policy on Qualified schools as providers of health-related services (Updated 9/14/2018)
• Fee Schedule: School Based services pursuant to an Individualized Education Plan (IEP)
• Claims Tools (secure portal, electronic submission, billing manual, PIN reset)

School-Based Prior Authorizations **PERSONAL CARE only**

• NOTICE:  Effective 9/14/2018, all initial (new) PAR's must be initiated using the SoonerCare Provider Portal, including the upload of the school based personal care request form.
  
  • OHCA School Based Personal Care request form  
  • How to submit a prior authorization request on the OHCA provider portal (PowerPoint)
   

Forms

• Blank SOAP (Subjective, Objective, Assessment, Plan) Note
• HCA-63 School Based Personal Care Attendant Prior Authorization Request
• Sample Speech Note  

Enrollment

• Schools and rendering providers must fill out an OHCA contract if not already contracted with OHCA, including subcontracted professional providers and school-based paraprofessionals (RN, LPN, BHSA, school psychologists and personal care assistants)
• Enrollment
• Provider Enrollment questions: Please contact SoonerCare at (800) 522-0114 option 5

Resources

• Provider Training  
• School Based Training
• SchoolServices@okhca.org (for questions about school based program and policy)
• SoonerCareEducation@okhca.org (for in-person training on the provider portal, PAR's, claims, etc.)