The Oklahoma Medicaid Program Covers:
The Oklahoma Health Care Authority is the primary entity in the state of Oklahoma charged with controlling costs of state-purchased health care. The agency must balance this fiscal responsibility with two, equally important goals:
Assuring that state-purchased health care meets acceptable standards of care;
Ensuring that citizens of Oklahoma who rely on state-purchased health care are served in a progressive and positive system.
SoonerCare (Oklahoma Medicaid) covers many health care services. However, there are limitations that apply to ensure that only medically necessary services are provided. Some services are for children only. The benefits and coverage outlined here may change.
Covered Services
Ambulance
Ambulatory Surgery Center services
Behavioral health and substance abuse services (outpatient)
Case management services
Chemotherapy and radiation therapy
Clinic services including renal dialysis services
Dental services (limited for adults)
Dentures for adults residing in nursing facilities
Durable medical equipment and supplies
Family planning services and supplies
Federally Qualified Health Center (FQHC) services
Home health services
Inpatient hospital services
Inpatient hospital services in an institution for mental disease for people who are 65 years of age or older *
Intermediate Care Facilities for the mentally retarded (ICF-MR) *
Laboratory and X-ray services
Medical supplies and equipment, including diabetic supplies
Nurse midwife services
Nursing facility services *
Outpatient hospital services
Perinatal services (breastfeeding, etc.)
Prenatal dental services
Personal care services
Physician services, including preventive services
Podiatry services
Prescription drugs and insulin
Prenatal, delivery and postpartum services (maternity services)
Rural health clinic services
Smoking Cessation
Transplants that are prior authorized
Transportation to obtain covered medical care (SoonerRide)
Tuberculosis services
Ultrasound benefits