2018 SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver Extension Request

Pursuant to  42 CFR § 431.408, the Oklahoma Health Care Authority (OHCA) is providing  public notice of its plan to submit an extension application for the SoonerCare Choice and Insure Oklahoma 1115(a) waiver to the Centers for Medicare and Medicaid Services (CMS) for the period January 1 2018, to December 31, 2018.  

The waiver allows the state to offer managed care in a Primary Care Case Management (PCCM) model in which the OHCA contracts directly with providers throughout the state to provide SoonerCare Choice members a Patient-Centered Medical Home (PCMH) and also to operate the Insure Oklahoma program. The demonstration provides additional services such as the Health Management Program, Health Access Networks and Workforce Development for Teaching Universities. The extension application requires approval from our federal partners, CMS, to continue services provided under the waiver. 

The State will apply no later than August 1, 2017 to extend the demonstration with one amendment to existing language.  The amendment will provide payment methodology and metrics for supplemental payments to the state of Oklahoma teaching Universities.

Supplemental Payment Methodology

The OHCA proposes to make supplemental payments to state teaching universities to grow and improve the healthcare workforce in the state of Oklahoma.  State universities can receive payments for programs that reach defined metrics such as primary care residents in training, percentage of graduating class entering primary care, retention rate for medical students within 5 years after completion of residency/fellowship training and percentage of nurses completing clinical rotation training in Medicaid contracted hospitals.  This list of  public meetings will be held at the following locations:

May 18, 2016 at 1:00p.m. 
Medical Advisory Committee Meeting
Ed McFall Boardroom 
Oklahoma Health Care Authority 
4345 N. Lincoln Blvd, Oklahoma City, OK.
Videoconferencing is also available for this meeting. 


May 24, 2016 at 3:00p.m.
Child Health Workgroup

Cleveland County Health Department
50 12th Ave N.E. Norman, Oklahoma City, OK. 

Please view the full 2018 SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver Extension Request here: SoonerCare/Insure Oklahoma 1115 Waiver Extension.    

The OHCA welcomes comments from the public regarding the extension SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver programs. The application will be posted from May 18, 2017 through June 30, 2017.

Comments can be submitted via the comment box below or by contacting Sherris Harris-Ososanya, OHCA Federal & State Reporting Coordinator, by telephone at 405-522-7507.

Please view the additional attachments for the 2018 SoonerCare Choice and Insure Oklahoma 1115 (a) Demonstration Waiver Extension Request below:

1. SoonerCare Budget Neutrality SCBN 2016-2018 Extension UPDATED May 2017 
2. SoonerCare Budget Neutrality SCBN 2016-2018 Extension UPDATED May 2017 
3. SoonerCare Evaluation Design 2015-2016 
4. 2016 Child (CHIP) Medicaid Executive Summary - Oklahoma Health Care Authority 
5. 2016 Adult Medicaid Executive Summary - Oklahoma Health Care Authority 
6. SoonerCare HMP SFY2015 Evaluation Jul16 
7. 1115 Demonstration Waiver Banner 
8. OU SoonerHAN Annual Report FY2016 
9. OU SoonerHAN Annual Report CY 2016 Jul-Dec 2016 
10. PHCC Annual Report FY16
11. PHCC Annual Report AR 16 Jul-Dec 
12. OSU HAN Annual Report Fiscal Year 2016 
13. OSU HAN Annual Report July 2015-December 2016 
14. Oklahoma 1115 Budget Neutrality Model Worksheet, December 2016 
15. The Children's Health Group Quarterly Meeting April 2017 
16. SoonerCare Choice Insure Oklahoma Post Award Forum PowerPoint April 2017 
17. Post Award Forum Newspaper Publication Notice April 2017 
18. Accessibility Report 
19. Child Health Workgroup 
20. Newspaper Publication Notice May 2017

 

 

 




Comments

Order:

Anonymous
1) Workforce development for APRN and PT are in the proposal. How about workforce development for Physician Assistants (PAs).
2) Under workforce development for Physicians can a metric of telemedicine services to rural communities or ECHO programs be included as well?
OHCA Staff Reply
Thank you for your feedback. OHCA considers all input seriously and will take your comments under advisement.
6/8

Anonymous
Consider change under Payment Metrics for Workforce Development of Physicians: Delete under bullet #5 "Primarily." Will now read ...program with training linked to a Level I Trauma Center...
OHCA Staff Reply
Thank you for your feedback. OHCA considers all input seriously and will take your comments under advisement.
6/12

Anonymous
1) Under the payment metrics for physicians- what are "critical" specialty graduates? Is it just graduates in an accredited specialty residency/fellowship program?
2) Based on the current waiver, the amount is $101,680,000 for OU/OSU/PMTC...This proposal is to go to ~$115,000,000 with additions of RN/APRN/PT programs. Should the amount be increased more to allow program growth for all?
OHCA Staff Reply
Thank you for your feedback. OHCA considers all input seriously and will take your comments under advisement.
6/14

Anonymous
Can a metric for physicians be: # or & of instate medical students in a class?
OHCA Staff Reply
Thank you for your feedback. OHCA considers all input seriously and will take your comments under advisement.
6/20

Anonymous
Number or Percentage of Oklahoma residents in each program (physician, nurse, PT, and other) should be a potential variable for each program. That would encourage schools to recruit from Oklahoma for Oklahoma.
OHCA Staff Reply
Thank you for your feedback. OHCA considers all input seriously and will take your comments under advisement.
6/21


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Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.