Traditional fee-for-service SoonerCare has a statewide network of providers that includes hospitals, family practice doctors, pharmacies and durable medical equipment companies. SoonerCare members in this program may choose any of these contracted providers for needed services.
All members are initially enrolled in SoonerCare Traditional, however only a small percentage remain in the program. They include:
- residents of long-term care facilities;
- dually eligible SoonerCare/Medicare members;
- people with private HMO coverage;
- those eligible for the Home and Community-Based Services (HCBS) waivers;
- children in state or tribal custody.
SoonerCare will not pay for services of a non-SoonerCare provider. A provider's participation in the SoonerCare program is voluntary and SoonerCare members should ask if SoonerCare is accepted before scheduling an appointment.