Oklahoma SoonerCare MNT coverage: codes, limits and referrals
The short answerSoonerCare pays licensed registered dietitians who hold an OHCA contract for up to 6 hours of nutritional counseling per year, in person or by telehealth, when a physician, PA, APRN or nurse midwife prescribes it. Adult obesity treatment is not covered unless obesity contributes to another illness. The rules name no CPT codes.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Oklahoma. Public policy, not the member's benefits.
Oklahoma SoonerCare
Medicaid (OAC 317:30-5-1075 and 1076, Nutrition Services) · Oklahoma
| 97802 | Not named (the rule text names no CPT codes.) [1][2] |
|---|---|
| 97803 | Not named (the rule text names no CPT codes.) [1][2] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Adults and children covered under SoonerCare. Members with Medicare Part B are paid the Medicaid allowable for comparable services; services Medicare does not cover are billed to OHCA. [1][2] |
| Diagnoses | Services must be expressly for diagnosing, treating, preventing or minimizing the effects of illness. Adult obesity treatment is not covered unless documented as a contributing factor in another illness. For children, obesity treatment may be covered under EPSDT. [1][2] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Telehealth rules | The OHCA provider page says the six hours can be delivered in person or via telehealth appointments. Place of service and modifier rules were not found. [2] |
| Visit limits | Six hours per year. Gestational diabetes: up to 6 hours per year, with an initial group session of up to 2 hours and up to 4 more hours, which can include a postpartum visit. [1][2] |
| Referral and prior auth | All services must be prescribed by a physician, physician assistant, advanced practice nurse or nurse midwife. [1][2] |
| Who can bill | Dietitians licensed in the state where they practice, each with a current contract with OHCA. [3] |
- Oklahoma Health Care Authority: OAC 317:30-5-1076 Nutrition services, Coverage by category (revised 09-14-20; website copy is marked unofficial), checked October 30, 2026
- Oklahoma Health Care Authority: Nutrition counseling provider page (last modified Oct 22, 2026), checked October 30, 2026
- Oklahoma Health Care Authority: OAC 317:30-5-1075 Nutrition services, Eligible providers (issued 6-26-00), checked October 30, 2026
Check a Medicaid claim against the row
Before an Oklahoma SoonerCare claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.