MedicaidReimbursementMedium impact
Provider Letter 2024-26: RE: Value-Based Payments Programs
Oklahoma SoonerCare·OK · Family Medicine, Internal Medicine, General Practice +1 more·Provider Letter
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Oklahoma Medicaid is transitioning SoonerSelect providers from Patient-Centered Medical Home (PCMH) payments to Value-Based Payment (VBP) programs starting January 1, 2025. PCMH payments will continue through June 30, 2025, with VBP incentive payments beginning in Q3 2025.
Action Required
By Q1 2025: Billing team should monitor communications from SoonerSelect contracted entities regarding new VBP contract options and payment methodologies. By June 30, 2025: Prepare for transition from PCMH monthly roster payments to VBP incentive payments. Update billing workflows to track quality metrics and data reporting requirements as specified by contracted entities.