Manuals, Forms and Resources

Manuals 

Oklahoma Complete Health

  • Provider Manual (PDF) Coming Soon
  • Provider Billing Manual (PDF) Coming Soon
  • Provider Orientation Materials (PDF) Coming Soon

Forms

Oklahoma Complete Health Forms

  • PCMH Change Form Coming Soon
  • Notification of Pregnancy (NOP) Letter and Form Coming Soon
  • Outpatient Medicaid Prior Authorization Form (PDF) Coming Soon
  • Inpatient Medicaid Prior Authorization Form (PDF) Coming Soon
  • Provider Appeal Form (PDF) Coming Soon
  • Pharmacy Retail Prior Authorization Form (PDF) Coming Soon
  • Telemedicine Guide (PDF) Coming Soon

Provider Contracting and Credentialing

  • Contract Request Form
  • Behavioral Health Credentialing FAQ Coming Soon
  • Hospital – Facility Provider Application Coming Soon
  • Ownership and Controls Disclosure Form Coming Soon
  • Practitioner Data Form Coming Soon
  • PDM Credentialing Checklist Coming Soon
  • Sample Provider Agreements Coming Soon
  • W9 Form Coming Soon