News Release

November 30, 2015

OHCA Contacts: Jo Kilgore - (405) 522-7474,  Jennie Melendez- (405) 522-7404   

Agency selects care coordination model for Aged, Blind and Disabled populations

OKLAHOMA CITY – Following five months of intensive planning, leaders of the Oklahoma Health Care Authority (OHCA) announced they will develop a Request for Proposals (RFP) aimed at contracting for a fully capitated, statewide model of care coordination for Oklahoma Medicaid’s Aged, Blind and Disabled (ABD) populations.

The RFP is the result of HB1566, passed during the 2015 Oklahoma Legislative session. The bill charged OHCA with issuing an RFP for care coordination models for its ABD populations. The intent of the legislation is to provide better access to care, improve quality and health outcomes and control costs.

"Oklahomans with complex medical needs can benefit greatly from a care coordination model that gives them one effective team whose job is to help them navigate the medical world of doctors and specialists in every field. One effective team that helps them make their appointments, get their medicine, and get them on the road to better health. One effective team who helps them receive needed specialized services that could prevent a hospital stay. Our goal is a healthier Oklahoma!"‎ said state Sen. Kim David, R-Porter, co-author of the measure and chair of the Senate Appropriations Subcommittee on Health and Human Services.

“The goal behind House Bill 1566 is to improve health outcomes for the aged, blind and disabled while maximizing limited resources,” said state Rep. Glen Mulready, R-Tulsa, co-author of the measure and chair of the House Insurance Committee. “We believe we can provide better quality healthcare at a lower cost for this particular population of Oklahomans by introducing competition into the system. We have just completed a very extensive review process that included hundreds of providers and participants. I am very pleased that we have reached this point in the process, and I am excited to work with the Health Care Authority as we move forward.”

OHCA solicited input on potential care coordination models from a wide variety of stakeholders. Over a three-month period, OHCA and its consultant, Pacific Health Policy Group (PHPG), held meetings with ABD members, their families, providers, advocates and other stakeholders throughout Oklahoma. OHCA also gathered recommendations through a Request for Information (RFI) that drew responses from 22 Oklahoma-based and national health care organizations interested in serving ABD members. 

After careful review and analysis of the information received through the various venues for stakeholder engagement, and through responses to the RFI, the OHCA has chosen a fully capitated, statewide model of care coordination. OHCA believes this model will meet the intent of the legislation by providing the highest quality of care for the ABD populations, while helping to control costs and improve health outcomes. RFP development will begin in December with an anticipated release date of June 2016.

More information about the process is available on the agency’s website at

The Oklahoma Health Care Authority (OHCA) administers two key health programs for the state. The first is SoonerCare, Oklahoma’s Medicaid program. SoonerCare works to improve the health outcomes of Oklahomans by ensuring that medically necessary benefits and services are responsive to the health care needs of our members. Qualifying Oklahomans include certain low-income children, seniors, the disabled, those being treated for breast or cervical cancer and those seeking family planning services. The second program OHCA operates is Insure Oklahoma, which assists qualifying adults and small business employees in obtaining health care coverage for themselves and their families. OHCA strives to educate and engage our current 827,118 members regarding personal responsibilities for their health services utilization, behaviors, and outcomes in partnership with a state-wide network of 44,288 providers. For more information, visit or