Request for New or Expanded SoonerCare Coverage Consideration

Oklahoma Medicaid enrolled clinicians may request consideration for SoonerCare coverage or expanded coverage of a new service, procedure, technology, device or other benefit. For the request to be considered, please complete and submit a Request for New SoonerCare Coverage Consideration Form. Remember to attach any requested supporting documents and any other evidence-based documents you wish to be considered to the completed form.

Services that are investigational, non-FDA approved, experimental, or solely cosmetic, will not be considered for coverage. All services must be medically necessary in accordance with OAC 317:30-3-1(f).

We do not review requests from vendors or manufacturers without a specific clinician with a specific medical need for a specific member or member group.