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Provider Reimbursement Notices

For further assistance with reimbursement, contact us at ProvReimb@okhca.org

LETTER #ISSUE DATESUBJECTeFF. DATE
2026-049/1/26DPP SHOPP Update 
2026-037/9/26Annual FQHC and RHC rate update 
2026-027/9/26Annual ESRD rate update 
2026-017/9/26SHOPP Update 
2025-0712/23/25Hospital DRG Update 
2025-0610/1/25FFY 2026 Hospice Rate Update10/1/25
2025-057/30/25SHOPP Update 
2025-047/9/25Annual FQHC and RHC rate update 
2025-037/9/25Annual ESRD rate update7/1/25
2025-024/23/25SHOPP Update 
2025-011/29/25SHOPP Update 
2024-0810/23/24SHOPP Update 
2024-0710/21/24Hospital DRG Update 
2024-069/24/24FFY 2025 Hospice Rate Update10/1/2024
2024-057/1/24ESRD Rate Update 
2024-047/1/24Annual FQHC and RHC Rate Update 
2024-035/2/24Hospital Possibly Preventable Readmissions 
2024-024/16/24SHOPP Update 
2024-011/24/24SHOPP Update 
2023-0811/2/23Hospital DRG Rebase 
2023-0710/13/23SHOPP Directed Payments 
2023-0610/4/23Hospital DRG Update 
2023-059/28/23FFY 2024 Hospice Rate Update10/1/2023
2023-048/15/23Senate Bill 32x 
2023-038/2/23ESRD Rate Update07/1/2023
2023-028/2/23Annual FQHC and RHC Rate Update 
2023-014/27/23Hospital Potentially Preventable Readmissions 
2022-1212/19/22CY2022 SHOPP Additional Payment 
2022-1112/6/22DSH Calculation Update 
2022-1010/13/22Hospital DRG Rebase 
2022-099/27/2022FFY 2023 Hospice Rate Update10/1/2022
2022-089/1/2022Hospitals Billing of the TC Modifier 
2022-077/1/2022Annual FQHC and RHC Rate Update 
2022-067/6/2022ESRD Rate Update 
2022-054/15/2022Hospital Potentially Preventable Readmissions
 
2022-044/15/2022SHOPP Update 
2022-033/9/2022National Correct Coding Initiative Program (NCCI) – Outpatient Facility Claims 
2022-022/2/2022Annual Hospice Rate Update
 
2022-011/12/2022Long-Acting Reversible Contraceptives in an FQHC 
2021-1112/20/2021CY2022 SHOPP, FFY2022 DSH, and DRG Code Updates 
2021-1011/9/2021Inpatient Admitting Update 
2021-0910/7/2021Hospital DRG for Split Eligible Expansion Members 
2021-0810/7/2021Hospital DRG Rebase 
2021-077/1/2021Annual FQHC and RHC Rate Update 
2021-067/1/2021Annual ESRD rate update 
2021-055/5/2021CY2021 Supplemental Hospital Offset Payment Program (SHOPP) Update 
2021-044/2/2021Hospital Possibly Preventable Readmissions 
2021-032/1/2021SHOPP Update
 
2021-021/27/2021Hospital DRG Recycle 
2021-011/20/2021CY 2021 Hospice Rate Update 
2020-1212/29/2020CY2021 Supplemental Hospital Offset Payment Program (SHOPP) Info 
2020-1112/14/2020Outpatient Hospital Infusion of Remdesivir12/14/2020
2020-1012/8/2020Hospital DRG Rebase UPDATE 
2020-0910/1/2020Hospital DRG Rebase 
2020-089/28/2020FQHC Same Day Encounters 
2020-07  7/1/2020Annual FQHC and RHC Rate Update7/1/2020
2020-06  7/1/2020ESRD Rate Update7/1/2020
2020-05  5/11/2020     Hospital Potentially Preventable Readmissions (PPR)
2020-044/14/2020Disproportionate Share Hospital (DSH) Update
2020-033/27/2020Supplemental Hospital Offset Payment Program (SHOPP) Update1/1/2020
2020-023/27/2020Telehealth at an FQHC or RHC
2020-011/31/2020Annual Hospice Rate Update1/1/2020
2019-1010/24/2019Hospital DRG Update10/1/2019
2019-0910/10/2019Rural Health Clinic (RHC) Rate Update7/1/2019
2019-0810/3/2019ESRD Rate Update10/1/2019
2019-0710/3/2019Hospital DRG and Other Updates10/1/2019
2019-068/30/2019APC and ASC Rate Correction8/30/2019
2019-057/15/2019Annual ESRD Rate Update7/1/2019
2019-047/3/2019Annual FQHC and RHC Rate Update7/1/2019
2019-036/26/2019Annual Medicare Cost Report Submission
2019-024/30/2019Hospital Potentially Preventable Readmissions     4/30/2019
2019-014/15/2019Hospital DRG Update4/15/2019
2018-0310/3/2018Hospital DRG and Other Updates10/1/2018
2018-024/17/2018Hospital PPR Program Update
2018-011/11/2018SHOPP Update
2017-1212/19/2017Private Duty Nursing Rate Update10/1/2017
2017-101/2/2018ESRD Rate Update1/1/2018
2017-11  12/19/2017Annual Hospice Rate Update1/1/2018
2017-0912/19/2017Hospital DRG and Other Updates     1/1/2018
2017-0810/25/2017
Hospital DRG Release Update
2017-077/1/2017Annual ESRD Rate Update7/1/2017
2017-067/1/2017Annual FQHC and RHC Rate Update
7/1/2017
2017-054/25/2017Hospital PPR Program Update
2017-044/19/2017Outpatient Hospital Claims Processing Update1/1/2017
2017-03  1/6/2017Hospital DGR Rebase Update     1/1/2017
2017-02  1/3/2017Hospital Update
1/1/2017
2017-011/3/2017Annual Hospice Rate Update1/1/2017
2016-0610/20/2016Hospital DRG Rebase
2016-05  6/23/2016 Annual ESRD Rate Update7/1/2016
2016-046/23/2016Annual FQHC and RHC Rate Update
7/1/2016
2016-03
5/17/2016
Hospice Payment Change
2016-02
4/18/2016
Hospital PPR Program Update
2016-01
4/15/2016
SHOPP Update
2015-16
12/29/2015
ESRD Rate Update
1/1/2016
2015-15
12/29/2015
Hospital Update
1/1/2016
2015-14
11/16/2015
Hospital DRG Neonate Correction
10/1/2015
2015-13
10/7/2015
CY 2015 SHOPP Revision
10/1/2015
2015-12
10/6/2015
Annual FQHC Rate Update
7/1/2015
2015-11
9/30/2015
Annual ESRD Rate Update
7/1/2015
2015-10
9/28/2015
Hospital Updates - LARC
2015-09
9/8/2015
DRG Hospital Update
10/1/2015
2015-087/21/2015    Payment for Hospital Outpatient Services7/1/2015
2015-077/20/2015Hospital DRG Changes    7/1/2015
2015-066/22/2015Annual FQHC and RHC Rate Update7/1/2015
2015-056/22/2015Annual ESRD Rate Update7/1/2015
2015-04  6/18/2015Disproportionate Share Hospital (DSH) Payments
2015-036/4/2015ESRD Update
2015-026/4/2015Hospital PPR Update1/1/2015
2015-016/4/2015FQHC Change4/1/2015
2014-078/13/2014Annual FQHC and RHC Rate Update7/1/2014
2014-067/17/2014Hospital Updates7/1/2014
2014-057/14/2014SHOPP CY20147/1/2014
2014-046/2/2014RHC Notice6/10/2014
2014-033/24/2014ESRD Rate Update3/26/2014
2014-022/26/2014FQHC Dental Claims with TPL
2014-011/28/2014DRG & ICD 10                                                           
2013-1612/19/2013SHOPP CY2013 Revision12/26/2013
2013-1511/15/2013Nursing Home Focus on Excellence Letter1/1/2014
2013-1411/7/2013Hospital Presumptive Eligibility Survey 1/1/2014
2013-1310/4/2013FQHC Claims with TPL   
2013-129/30/2013Hospital Presumptive Eligibility 1/1/2014
2013-117/16/2013SHOPP Payment Change7/1/2013 
2013-107/10/2013Split Elig DRG Adjustment 
2013-096/27/2013Annual ESRD Rate Update7/1/2013
2013-086/27/2013Annual Hospice Rate Update7/1/2013
2013-076/27/2013Annual FQHC & RHC Rate Update7/1/2013
2013-066/19/2013Outpatient Labor & Delivery Observation
2013-056/12/2013SHOPP CY2011 Revision6/19/2013
2013-045/17/2013FFY2012 Disproportionate Share Hospital (DHS) Audit Process
2013-035/23/2013FQHC FP Billing7/1/2013
2013-021/31/2013OHCA Call Center Vendor & Call Center Questions4/1/2013
2013-011/9/2013Hospital Updates1/1/2013
2012-0910/28/2012FFY13 Disproportionate Share Hospital (DSH) Calculation Clarification
2012-08  10/30/2012DRG Rebase & DRG Claims Correction
2012-0710/23/2012SHOPP CY2012 Revision10/1/2012
2012-066/18/2012FQHC & RHC Rate Update7/1/2012
2012-055/24/2012DSH Update
2012-045/24/2012EHR Payment Calculation and Adjustments
2012-035/24/2012ESRD Update and Guidance7/1/2012
2012-025/24/2012Inpatient From and Thu Dates7/1/2012
2012-012/24/2012SHOPP Updates                                 7/1/2011
2011-056/28/2011Annual FQHC and RHC rate update7/1/2011
2011-046/28/2011Annual ESRD Rate Update and Payment Methodology Notice
2011-037/6/2011FQHC and RHC Claim Fluoride Varnish Billing7/1/2011
2011-013/22/2011Hospital Online Enrollment-2nd REVISION
2011-013/3/2011Hospital Online Enrollment-REVISED
2011-021/18/2011APC & ASC Fee Schedule Update1/1/2011
2011-0112/17/2010Hospital Online Enrollment                      
2010-0608/19/10RHC Multiple Encounters 
2010-0506/10/10FQHC Claims – TPL & TOB 
2010-0405/13/10 Hospital DSH Audit Notice
2010-0303/11/10Hospital Updates00/00/00
2010-0210/30/09Hospital Never Events, Annual Rebasing, Outpatient Updates00/00/00
2010-0108/14/09Hospital Updates00/00/00
2009-1706/25/09Hospice rate update                                                                   07/01/09
2009-1606/24/09FQHC Claims For Behavioral Health Services                           07/01/09
2009-1506/05/09FQHC Claims For Services Outside The PPS Rate Reprocessing Date 06/08/09
2009-1405/19/09Outpatient Claims Processing Fix /Inpatient POA Ind Timeline REV06/01/09
2009-1305/15/09FQHC System Fix For Services Outside The PPS Rate06/01/09
2009-1204/13/09FQHC Claims Adjustment / System Issue Follow-up
2009-1102/27/09Outpatient Claims Processing Error /Inpatient Notification Reminder01/01/09
2009-1002/03/09FQHC system issues on services outside the PPS rate 01/01/09
2009-0901/30/09DRG Base Rate Correction 01/01/09
2009-0801/08/09Outpatient BH Agency Providers - Billing Updates and Clarifications 03/01/09
2009-0712/22/08 DRG Claims Processing Error12/14/08
2009-0611/24/08Annual ESRD Rate Update REVISED07/01/08
2009-0511/17/08Ambulatory Surgery Center Claim Changes 01/01/09
2009-0411/21/08Inpatient Notification and APC Changes01/01/09
2009-0310/27/08RHC Medical Home Update01/01/09
2009-0210/13/08Outpatient Hospital – Processing Changes and SFY08 TOP
2009-0110/10/08Annual DRG Rebasing01/01/09

2008-03

05/27/08

Annual ESRD Rate Update

07/01/08

2008-02

05/27/08

Annual FQHC and RHC Rate Update

07/01/08

2008-01

04/02/08

FQHC Update – SoonerCare Choice Redesign

01/01/09

2007-06

10/01/07

Final DSH and Outpatient Hospital Supplemental Payment

 

2007-05

08/31/07

Annual DRG Rebasing Review

01/01/08

2007-04

07/20/07

DRG Claims Payment Error

 

2007-03

04/25/07

Split Eligible Claim Processing Update

 

2007-02

03/05/07

FFY08 DSH application process and misc info

2007-01

02/08/07

FQHC Billing Updates

2006-08

12/08/06

Home Health Private Duty Nursing Rate Increase

01/01/07

2006-07

11/07/06

Disproportionate Share Hospital Forum (Lawton)

12/05/06

2006-06

11/02/06

Disproportionate Share Hospital Forum (Tulsa)

11/27/06

2006-05

11/27/06

Changes to SoonerCare Hospital Reimbursement (final)

01/01/07

2006-04

10/25/06

Changes to SoonerCare Hospital Reimbursement (proposed)

01/01/07

2006-03

10/25/06

Disproportionate Share Hospital Forum (OKC)

11/07/06

2006-02

09/27/06

Changes to Blood Reimbursement

10/01/06

2006-01

09/26/06

Changes to Psychiatric Residential Treatment Facilities (PRTF)

10/01/06

Last Modified on Sep 02, 2026