Billing Beat

Effective November 1, 2016: Prior Authorization Required Process Change

October 24, 2016

Effective November 1, 2016 the Oklahoma Health Care Authority (OHCA) Medical Authorization Unit (MAU) will require prior authorization (PA) requests to be initiated electronically through the SoonerCare Provider Portal.  After initiation of the PA request, providers may submit the necessary clinical records, photos and supporting documentation electronically. The OHCA prefers all documentation to be uploaded electronically, but will continue to accept documentation by fax or mail through June 30, 2017.  However, by July 1, 2017, OHCA intends to transition to an electronic PA submission process inclusive of documentation consistent with OHCA’s commitment to going “green” and reducing costs.  OHCA will provide additional information as this process progresses.  

Source: https://www.okhca.org/providers.aspx?id=112

Sign up for Billing Beat