Forms and Resources

FORMS

Agent of Record Form
Electronic Funds Transfer (EFT) Form
Employer Application
Employer Change Form
Employer Contract
Cover Sheet
Open Records Request Form
Staff Listing Form

RESOURCES

Employer/Agent Blasts
ESI Payment Schedule (2024)
Find an Agent
Guide to Insure Oklahoma Portal
Income Fact Sheet (MAGI)
Income Guidelines
Insure Oklahoma Rules
OESC Reporting Rules
Qualified Benefit Plans
Professional Employer Organizations

Last Modified on Apr 10, 2024

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

Public Notices
Nondiscrimination Notice
Language Assistance
Employee E-Mail Access
Legal Notices
Report Suspected Medicaid Fraud

The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.