Notes are made on the basis of are required for are required to receiving the referred serviceinpatient admissions from an period following the admission must have the correct provide ID: 886803
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1 SoonerCare Provider Handbook
SoonerCare Provider Handbook Notes are made on the basis of are required for are required to receiving the referred service.inpatient admissions from an period following the admission. must have the correct provider
2 referral number to within the PCP/CM
referral number to within the PCP/CM’s office wthe provider. may also require prior authorization. It is services, to obtain prior authorization as needed. Prior are obtained through the SoonerCare Provider Handbook Payment o
3 f Referred Services Payment for referre
f Referred Services Payment for referred services is subject to r the current Medicaid Payment for referred servspecialty visits per montvisits are excluded from this limitation. PCP/CMs must refer only to Medicaid providers Document
4 ing the Medical File Documentation in th
ing the Medical File Documentation in the medical record should when this information is Documentation in the medical record should om the provider to whom the referral was made. The “referred to” provider should report his
5 findings to the referring PCP/CM contact
findings to the referring PCP/CM contact the health care provider to whom the referral was made. Unauthorized use of a provider’s number may result in official action to recover unauthorized reimbursements from the billing provider