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2025 Provider Letters

Letter NumberSubjectDate Added to Website
2025-23RE: Prior Authorization of Photrexa®/Photrexa® Viscous Cross-Linking Kit - Effective January 1, 202611/26/25
2025-22RE: Prior Authorization Timeliness - Alignment with CMS Interoperability and Prior Authorization Rule (CMS-0057-F)11/25/25
2025-21RE: EVV Requirements for Reimbursement of Personal Care and Home Health Services11/20/25
2025-20RE: Pausing Executive Order 2025-16 Provider Attestation Requirements11/12/25
2025-19RE: eQSuite® Training for Inpatient Behavioral Health Providers10/15/25
2025-18Re: Executive Order 2025-169/29/25
2025-17RE: Licensure Changes for Programs of All-Inclusive Care for the Elderly (PACE) Organizations9/26/25
2025-15RE: PDMP Compliance Survey5/29/25
2025-14RE: DEN-6 Handicapping Labio-Lingual Deviation (HLD) Index Form Prior Authorization Process5/21/25
2025-13RE: SoonerSelect Service Process Change to Remove GLP1 Medications From Drug Maintenance List for Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program4/25/25
2025-12RE: SoonerSelect Pharmacy Split Fill Logic for Certain Medications for Oklahoma Complete Health4/25/25
2025-11RE: Differentiation for D13544/10/25
2025-10RE: SoonerSelect Dental Changes to Claims Processing for Therapeutic Pulpotomies and Gross Pulpal Debridement for Liberty Dental Plan3/21/25
2025-09RE: Aetna Beter Health of Oklahoma’s Implementation of PA Requirements for Specific Codes3/3/25
2025-08RE: Emergency Room (ER) Evaluation and Management (E/M) Leveling Program3/3/25
2025-07RE: Licensure Changes for Programs of All-Inclusive Care for the Elderly (PACE) Organizations3/3/25
2025-06Re: High Risk Screening Requirement Update for Applied Behavioral Analysis (ABA) Groups and Board-Certified Behavioral Analysts (BCBAs)2/21/25
2025-05RE: SoonerSelect Cumulative Refill Too Soon Threshold for Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program2/21/25
2025-04RE: SoonerSelect Prior Authorization Process for Tonsillectomies and/or Adenoidectomies for Members Over Age 12 for Oklahoma Complete Health and Oklahoma Complete Health Children’s Specialty Program2/19/25
2025-03RE: Yearly Compliance with the Deficit Reduction Act of 2005 – FFY 20251/22/25
2025-02RE: Pre-Pay Diagnosis Related Group Payments1/13/25
2025-01RE: Prior authorization of icatibant injection — effective Feb. 1, 20251/2/25

 

 

Last Modified on Nov 26, 2025
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