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Letters of Collaboration\Termination (began on 2/6/2014).
PA Manual (includes CDC Manual) updated on 3/18/2014
PA Groups Spreadsheet updated on 4/1/2014. NOTE: To view all workbook tabs, please maximize Excel spreadsheet once it is open.
Rates and Codes for Agencies updated on 4/7/2014
Rates and Codes for LHBPs - effective 7/1/2013, updated on 10/3/2013
Rates and Codes for Psychologists - effective 7/1/2013
Changes to CPT codes for 1/1/2013-Revised
Linking IDs for Adopted Children
PA Adjustments
CDC/PA Form
Here are some documents to help with denied claims:
ODMHSAS Provider Documents
· Consent for the Release of Confidential Information - DHS 0113.doc
· Screening & Assessment Report - Fillable.docx
· Assessment Report - CW only - Fillable.docx
· SASSI Report - Handwritten.docx
· SASSI Report - Fillable.docx
· Monthly Report - Fillable - Sample.docx
· Monthly Report - Fillable.docx
· Discharge Report - Fillable - based on Chap 18.docx
Generic IDs
Other Links
Old/Outdated Information
Medical Necessity Manual effective May 2012
12/1/2011 SA Directors Meeting Authorization Process Change Presentation
Optum Outpatient Prior Authorization Fax Form
Helpful Reports available on ICIS
Q & A board for the CCP
Authorization Information
CDC Training presented at OHCA provider training (Durant, OK: 4/12/2012)
SoonerCare Master PA and Individual Rendering Provider Information UPDATED 9/28/2011
Webinar Recording from the September 7th, 2011 training
Support Services Provider Verification Form pdf
A tutorial for Residential Care Providers
Eligibility and Target Population Matrix FY11
Eligibility and Target Population Matrix FY13
Data Flow - Questions? Contact Tracy Leeper at tleeper@odmhsas.org.
HP Documents
OHCA Documents
EDI Vendors
Recording/Handout from
trainings held December 10-21 for the Prior Authorization process.
View CMHC Locations
in a full screen map
PICIS Updates
· 1/3/2013
· 1/9/2013
· 6/3/2013
· 6/7/2013
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