At the request of our provider community and with collaboration with our Medical Advisory Task Force, the Oklahoma Health Care Authority implemented a patient-centered medical home primary care delivery system on January 1, 2009. This model incorporates a managed care component with traditional fee-for-service and incentive payments. It is our intent to build on the successes already achieved in SoonerCare Choice to establish a patient-centered medical home for all SoonerCare Choice members.

ED Utilization Criteria

Frequent Emergency Department Utilization Initiative - Provider Letter 2008-12

MAC Presentation

Medical Advisory Task Force

Medical Home Principles

Medical Home Implementation Presentation

MMIS Presentation

NASHP Presentation

SoonerCare’s Patient-Centered Medical Home: A Message to Community and Advocacy Groups (Video)

Transitional Payments

Billing for PCMH Behavioral Health Screening (January 2017)

The OHCA Quality Assurance and Improvement Department generates four kinds of provider profiles twice a year. One profile relates to emergency room utilization, and three profiles pertain to preventive health services (breast cancer screening, cervical cancer screening and Child Health Checkups). 

• FAQs About Provider Profiles on Emergency Room Utilization
• FAQs About Provider Profiles on Breast Cancer Screenings (Mammography)
• FAQs About Provider Profiles on Cervical Cancer Screenings (Pap Tests)