How to Complete and Submit the OHCA Provider Abortion Attestation Form

If you hold a SoonerCare contract, you must submit the OHCA provider abortion attestation form through the provider portal by 5 p.m. on May 15, 2026. The requirement applies to every provider contracted with the Oklahoma Health Care Authority, not only those who deliver reproductive health services, and it stems from Amended Executive Order 2025-16.¹ Missing the deadline can lead to payment suspension and contract termination.

What You Are Attesting To

The form is a single page with one core statement: “I attest that the provider or entity listed below is in compliance with Oklahoma law, as documented in the OHCA provider agreement associated with the provider or entity.”² You then make two selections.

The first pair of options asks whether your practice performs, refers for, or is affiliated with abortions as defined by 63 O.S. § 1-730, and whether your practice is under common ownership or control with any entity engaged in abortion-related activities inconsistent with Oklahoma law. The second pair asks whether you are directly affiliated with a physician, medical practice, or organization that provides or facilitates abortion services. If you select any option indicating involvement, you must list the specifics of that performance, referral, affiliation, or ownership arrangement.

The statutory definition of “abortion” the form relies on excludes procedures to remove an ectopic pregnancy, remove a deceased unborn child after miscarriage or accidental trauma, or increase the probability of a live birth. Those procedures sit outside what you are attesting about.

How to Submit Through the Provider Portal

The form itself needs only four things: your signature (wet ink or secure digital), the date, your provider or entity name in print, and your SoonerCare Provider ID or Application Tracking Number.² No clinical data, diagnosis codes, or patient information is required.

Submit through the Provider Portal at ohcaprovider.com:³

Log in with your existing portal credentials.
Watch for the “missing application section” pop-up, which links directly to the attestation page if the form is not yet attached to your file.
Open the link and choose “Confirm” or “Not in Compliance.”
Click “Update” or “Update and Finish,” then verify your submission in the confirmation pop-up.

Providers should have received an automated email from the portal flagging the attestation as a missing file item.⁴ If no email arrived, log in anyway and check for the alert. New contracts and renewals going forward will fold the attestation into the portal’s enrollment process, so onboarding providers will complete it during enrollment rather than as a separate task.

What Happens If You Miss the Deadline

OHCA treats a missed submission as noncompliance with the executive order. The FAQ lists denial, exclusion, nonrenewal, payment suspension, and contract termination as possible consequences.¹ Any of them would cut off your ability to receive SoonerCare payments.

The executive order also gives OHCA broad discretion. The agency can terminate or decline any contract with a provider that, in OHCA’s sole judgment, is “not fully aligned with Oklahoma’s public policy objectives.”¹ That latitude matters most for providers with any tie to entities that perform abortions in other states.

What “Compliance With Oklahoma Law” Means Before You Click Confirm

Oklahoma maintains a near-total abortion ban, with a recognized exception only when the procedure is necessary to prevent the death of the pregnant person. The attestation FAQ points to 21 O.S. § 861, 63 O.S. § 1-731, 63 O.S. § 1-732, and 63 O.S. § 1-737 as the statutes defining unlawful abortions.¹

For purposes of this form, “referring for an abortion” means making a referral to another provider with the intent that the receiving provider performs an abortion or an abortion-related activity not permitted under state law.¹ Read the ownership and affiliation prompts carefully if your practice has any relationship with out-of-state organizations that perform abortions.

Fraud Risk From a False Attestation

A false attestation can trigger Oklahoma’s Medicaid fraud statutes, not just a contract dispute. Under 56 O.S. § 1006, Medicaid fraud involving $2,500 or more in illegal payments is a felony punishable by a fine of up to three times the amount illegally claimed or $10,000 (whichever is greater), imprisonment of up to three years, or both.⁵ Fraud involving less than $2,500 is a misdemeanor with a fine of up to three times the amount or $1,000, imprisonment of up to one year, or both.

Failure to maintain records supporting your attestation is a separate felony with the same fine and imprisonment range as the felony fraud tier. A conviction under the recordkeeping provision also makes the provider liable for the cost of investigation, litigation, and attorney fees.

Federal consequences compound the state exposure. A fraud conviction can result in exclusion from all federally funded healthcare programs through the HHS Office of Inspector General’s List of Excluded Individuals and Entities, which bars payment from Medicare, Medicaid, and other federal health programs for any items or services the excluded person furnishes, orders, or prescribes.⁶ Employers who hire an excluded provider also face civil monetary penalties.

After You Submit

Keep a copy of your submitted attestation along with any documentation that supports the compliance status you selected. The submission is a one-time step for current providers, but the underlying obligation continues. If your practice’s relationship to abortion-related activities changes after you submit, such as a merger with an entity that provides abortion services in another state, update OHCA rather than wait for the discrepancy to come up in an audit. OHCA’s Program Integrity division reviews patterns that suggest fraud, waste, or abuse, and discrepancies surfaced during a review can lead to recoupment of payments already made.⁷⁸

1
Oklahoma Health Care Authority. Amended Executive Order 2025-16 Attestation FAQs
2
Oklahoma Health Care Authority. OHCA Provider Abortion Attestation Form
3
Oklahoma Health Care Authority. OHCA Provider Newsletter – May 2026
4
Oklahoma Health Care Authority. OHCA Provider Newsletter – February 2026
5
Oklahoma Senate. Oklahoma Statutes Title 56 – Poor Persons
6
Office of Inspector General. Exclusions
7
Oklahoma Health Care Authority. Program Integrity Audits/Reviews
8
Centers for Medicare and Medicaid Services. Oklahoma Focused PI Review Report