SoonerCare Choice/Insure Oklahoma Waiver

The waiver was implemented in 1996 following approval by the Centers for Medicare & Medicaid Services (CMS). This authority has allowed OHCA to expand healthcare services to both members and providers through the development of SoonerCare Choice and Insure Oklahoma.  Other beneficial programs including the Patient-Centered Medical Home, the Health Management Program, the Health Access Network pilot program and the SoonerExcel incentive payment program have also been established under the waiver.

Additionally, the SoonerCare Choice/Insure Oklahoma waiver has allowed the state to extend eligibility to include individuals that would not otherwise qualify for coverage including:

  • Adults and full-time college students eligible for Insure Oklahoma with a household income up to 200% FPL
  • Children of parents covered by Insure Oklahoma

OHCA receives guidance from CMS on the waiver in the approval package. OHCA reports to CMS quarterly and annually and provides a comprehensive program evaluation for each waiver timeframe approved, generally every three years. In addition, OHCA has submitted a proposed evaluation design for the next three-year approval period.

Visit the CMS website for more information on the SoonerCare/Insure Oklahoma waiver.

More information on SoonerCare Choice or Insure Oklahoma.

SoonerCare Choice Quarterly Report