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New applicants for Medicaid, as part of the eligibility process, are given information about the SoonerCare Choice program, including details about the services and plans available, where to receive services, participant rights and responsibilities, and an enrollment form.
All eligible individuals who do not reside in areas of the state covered by SoonerCare Plus must choose a Primary Care Provider from the SoonerCare Choice statewide list of providers. Eligible household members must choose a PCP or they will be assigned to one. Parents or guardians choose on behalf of minors in the household. Participants may change PCP’s up to four times each year.
Applicants can apply for SoonerCare Choice through one of three different methods:
· They can enroll at the time of their application at the Department of Human Services office (see http://www.okdhs.org/okdhslocal/ for office locations).
· They can mail the postage-paid enrollment card enclosed in their enrollment packet.
· They can call the toll-free SoonerCare Helpline at 1-800-987-7767 and enroll by phone. For people with hearing impairments only, call 1-800-757-5979 (TDD/TTY).
Until enrollment is effective, Medicaid-eligible individuals receive services on a fee-for-service basis. Prior to the effective date in the program, each individual will receive a blue, plastic ID card that clearly indicates the name of their PCP and other relevant information, such as customer service numbers.
The Oklahoma Medical Assistance Application form is available for download from the Department of Human Services website. You may also download the SoonerCare Health Benefits Application Form (SC-1) in PDF format (requires Adobe Acrobat Reader). Get the form at:
http://www.okhca.org/publications/pdflib/SCapplication_english.pdf
SoonerCare Choice - Enrollment Requirements - Oklahoma
SoonerCare Choice - Services - Oklahoma
SoonerCare Choice - Overview - Oklahoma
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See How to Get WorkWORLD page at: http://www.WorkWORLD.org/howtogetWW.html
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