SoonerCare Choice is Oklahoma’s statewide managed care model in which each member is linked to a primary care provider who serves as their 'medical home'. PCPs manage the basic health care needs, including after hours care and specialty referral of the members on their panel. In exchange for this service, each PCP is prepaid a fixed monthly capitated payment for care coordination. Visit-based services are paid under the fee for service system. SoonerCare Choice has more than 400,000 members enrolled statewide and more than 1,000 PCPs.
OHCA Policy /Billing Guides
Related Primary Care Programs and Services
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).