Joining the HealthChoice Provider Network
The HealthChoice Provider Network is comprised of over 22,000 medical and dental care practitioners and facilities. Most providers who are licensed and/or certified in their particular state are eligible to participate in the provider network. HealthChoice Plan members have the ability to use health care providers from a wide range of specialties. The following is a list of specialties eligible to participate in the HealthChoice Provider Network:
||Licensed Alcohol and Drug Counselor
|Ambulatory Surgery Center
||Licensed Behavioral Practitioner
||Licensed Clinical Social Worker
||Licensed Genetic Counselors
||Licensed Marriage Family Therapist
|Board Certified Assistant Behavioral Analysts
||Licensed Professional Counselor
|Board Certified Behavioral Analysts
||Long-term Acute Care Facility
|Certified Nurse Midwife
|Certified Nurse Practitioner
|Certified Registered Nurse Anesthetist
|Christian Science Nurse
|Christian Science Practitioner
|Clinical Nurse Specialist
|Durable Medical Equipment Vendor
|Hearing Aid Vendor
|Home Health Care Agency
|Hospital (Medical and Psychiatric/Substance Abuse)
|Independent Diagnostic Testing Facility
||Skilled Nursing Facility
||Speech Language Pathologist
HealthChoice also provides Network reimbursement to rural health clinics, federally qualified health centers, Veterans Health Administration facilities, military facilities, city/county health departments, Indian Health Services facilities, radiation therapy centers and Metabolic Bariatric Surgery Accreditation and Quality Improvement Program Comprehensive Centers of Excellence.
Contracts and applications can be obtained online through a link on the HealthChoice Network Provider website, www.healthchoiceok.com/Providers/Contracts_and_Applications/index.html or by contacting the HealthChoice Network Management Unit.
HealthChoice also accepts completed Oklahoma Uniform Credentialing Applications (OUCA) and OUCA supplements as HealthChoice applications for individual practitioners when accompanied by the applicable credentialing attachments and signed signature page required by the provider contract.
The Network contracts require Network Providers to make a reasonable effort to refer HealthChoice members and their dependents to other Network Providers when additional consults are necessary. EGID believes this referral process is in the best interest of the Plan member and within the dictates of good medical practice. Plan members cannot realize the full benefit of their HealthChoice Plan unless they utilize Network Providers.