Department of Corrections - Network Providers
Posted 01/16/2020
The Department of Corrections plan is a managed health care program that provides comprehensive health and dental benefits to approximately 22,000 inmates sentenced to incarceration with the Oklahoma DOC.
The DOC plan is a partnership between the Oklahoma DOC, providers and the OMES Employees Group Insurance Division in the delivery of health care services and products that help control costs and assist in the provision of high-quality health care. Your help as a health care professional is needed to achieve this goal.
Entry into the DOC network is pre-approval for treatment.
The DOC will work with you to schedule a time that works for your office. A correctional officer will accompany all inmates at all times. If needed, the correctional officer will bring the inmate through an alternative entrance. The DOC will work with your staff to schedule appointments before or after regular patient hours, utilizing as much discretion as necessary to not interfere with other patient care.
Network DOC providers utilize the same allowable fees as HealthChoice network providers. The DOC fee schedule is available at https://gateway.sib.ok.gov/DOC/FeeSchedule/Login.aspx. Providers that are not part of the DOC network are paid per the Medicaid fee schedule.
Network providers are contractually obligated to provide health care services to inmates upon scheduling requests by the DOC.
For more information, call toll-free at 800-323-3710 or email EGID.DOCNetworkManagment@omes.ok.gov. A network management specialist will be happy to assist you.
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