The Oklahoma Health Care Authority (OHCA) Provider Portal offers healthcare professionals a comprehensive, secure digital platform designed to streamline administrative tasks and enhance provider interactions with the state’s Medicaid system.
Official Links
- Provider Portal: https://www.ohcaprovider.com/hcp/provider/Home/tabid/135/Default.aspx
- OHCA Providers Page: https://oklahoma.gov/ohca/providers.html
What Providers Can Do
The OHCA Provider Portal is specifically designed for:
- Providers
- Clerks
- Billing agents
Key functionalities include:
- Maintaining provider information
- Accessing claim-related functions
- Submitting prior authorization requests
- Receiving specific OHCA messages
Access and Login Process
Unique Security Features
The portal uses an advanced site key token system to enhance security:
- Enter User ID
- System displays personalized site key token
- Verify token before entering password
- First-time users will be prompted to create a personalized site key token
Login Recommendations
- Always log off after use
- Close all browser windows
- Protect your privacy and healthcare information
Provider Types Supported
The portal serves multiple healthcare provider categories:
- Behavioral Health
- Dental Providers
- Hospital Outpatient Services
- Physicians
- Rural Health Clinics
- Telehealth Providers
- And more specialized provider types
Key Portal Features
Claim Management
- Electronic claim submissions
- Claim status tracking
- National Drug Code (NDC) integration
- HCPCS level II code support
Provider Information
- Update provider files
- Manage zip+4 code information
- Access provider directory
Privacy and Security
The OHCA prioritizes data protection:
- Secure storage of personally identifiable information
- Confidential data handling
- Compliance with applicable laws and regulations
- Restricted data sharing with authorized entities
Helpful Resources
- EVS Guide
- Insure Oklahoma Information
- Child Health (EPSDT) Resources
- Provider Enrollment Support
- InterQual® Criteria Access
Technical Details
- Current Version: R4.2
- Platform: Developed by Gainwell Technologies
- Last Updated: August 2025
Contact and Support
While specific contact details were not provided in the source documents, providers can typically find support through:
- Provider Enrollment department
- OHCA Provider Directory
- Official website contact forms
Limitations and Notes
Some specific details about app downloads or mobile access were not available in the provided sources.
The OHCA Provider Portal represents a critical digital tool for healthcare providers, offering a secure, efficient platform for managing Medicaid-related administrative tasks.
© 2025 Oklahoma Health Care Authority. All provider portal interactions subject to official OHCA guidelines.
FAQ
Is Oklahoma Health Care Authority the same as SoonerCare?The Oklahoma Health Care Authority (OHCA) administers Oklahoma’s Medicaid program, commonly known as SoonerCare.
How do I contact Oklahoma complete provider?Do you need more information or have a question? Please fill out the below form or contact us at 1-833-752-1664 (TTY: 711). Member and Provider Services Hours of Operation: Monday-Friday 8 AM – 5 PM CST.
How do I contact the Oklahoma Health Care Authority?
- (405) 522-6205 or.
- (800) 522-0114.
How to verify Oklahoma Medicaid?Log on to our Secure Provider Web Portal . Using our secure Provider Portal, you can check member eligibility. You can search by date of service and either of the following: member name and date of birth, or member Medicaid ID and date of birth.
https://www.ohcaprovider.com/hcp/provider/Home/tabid/135/Default.aspx
The Oklahoma Health Care Authority’s secure portal is intended for providers, clerks and billing agents. This site gives you the opportunity to maintain
https://oklahoma.gov/ohca/providers.html
Become a SoonerCare Provider. Provider Portal Types: Claim Tools, Prior Authorization Resources, Training.