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Manuals, Forms and Resources

Manuals 

  • 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

Provider Resources

  • HEDIS Tip Sheets (PDF) Coming Soon
  • CAHPS® Information – ways to enhance relationships with patients and improve CAHPS® scores Coming Soon
Last Updated: 05/06/2021