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Providers press OHCA on credentialing, PBMs, payments and transport during Sooner Select Q&A

Oklahoma Health Care Authority · February 1, 2024
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

At an OHCA provider town hall, providers pressed agency leaders on how the Sooner Select rollout will affect credentialing timelines, provider portals and payments, pharmacy benefit managers, DME and nonemergency transport coordination; OHCA responded with transitional protections and follow-up commitments.

Providers at the town hall raised detailed implementation questions about how Sooner Select would work in practice and OHCA officials answered with operational commitments and follow-up items.

Casey Blackwell, a pharmacist who represents about 300 community pharmacies through AlignRx, asked whether copays and pharmacy payments would be standardized across plans and whether pharmacies would need to contract with plan PBMs. OHCA’s Traylor Raines said copays will remain at state-set levels and plans may choose to waive copays in some cases but may not increase them above state limits; OHCA also said that PBM choice is at the contracting plan’s…

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