2019-2021 SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver Renewal Request

Pursuant to  42 CFR § 431.408, the Oklahoma Health Care Authority (OHCA) is providing public notice of its plan to submit a renewal application for the SoonerCare Choice and Insure Oklahoma 1115(a) demonstration waiver to the Centers for Medicare and Medicaid Services (CMS) for the period of January 1,  2019 to December 31, 2021.

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 renewal of the demonstration waiver requires approval from our federal partners, CMS, to continue services provided under the waiver.

The Special Terms and Conditions (STC) require the state to annually afford the public an opportunity to provide public comment on the progress of the SoonerCare Choice and Insure Oklahoma demonstration. The second, of two public meetings described below, will serve to discuss the renewal of the 2019 -2021 demonstration waiver, and as the 2017 Post Award Forum to allow any discussion or feedback regarding the waiver.

The State will apply no later than October 10, 2017 to renew the demonstration waiver in its existing form with one change. The OHCA wishes to remove the pilot status of the Health Access Networks (HAN) to allow the possibility of statewideness. Statewideness in accordance with Section 1902(a)(1) will also be removed from the waiver list.  

Public meetings will be held at the following locations:

July 11, 2017 at 5:00p.m. 
The Child Health Workgroup, 
Stephenson Cancer Center
Fifth Floor Conference Room
Oklahoma City, OK 73104. 

Videoconferencing will be available for this meeting:  

  • OU College of Medicine, Tulsa;
  • Northwestern Oklahoma State University, Enid;
  • Eastern Oklahoma State University, Wilburton and
  • Stillwater Medical Center

September 21, 2017 at 1:00p.m. 
Medical Advisory Committee Meeting
Ed McFall Boardroom 
Oklahoma Health Care Authority 
4345 N. Lincoln Blvd, Oklahoma City, OK.
Videoconferencing will be available for this meeting.

Please view the full 2019-2021 SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver Renewal Request here: SoonerCare/Insure Oklahoma 1115 Waiver Renewal

The OHCA welcomes comments from the public regarding the renewal of SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver programs. The application waiver will be posted from July 10, 2017 through September 22, 2017. 

Comments and questions 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.

 




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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.