AFS Policy: ADvantage Waiver

ADvantage Waiver – a long term care SoonerCare (Medicaid) program.  Persons using this program are eligible for nursing home level of care but chose to receive services to remain in their homes.  Policy regarding this term is located at:

  • SoonerCare (Medicaid):
    • 317:35-17-1. Overview of long-term medical care services; relationship to QMBP, SLMB and other Medicaid services eligibility;
    • 317:35-17-2. Level of care medical eligibility determination;
    • 317:35-17-3. ADvantage program services;
    • 317:35-17-5. ADvantage program medical eligibility determination;
    • 317:35-17-9. General financial eligibility requirements for the ADvantage program;
    • 317:35-17-10. Determining financial eligibility/categorical relationship for the ADvantage program;
    • 317:35-17-11. Determining financial eligibility for ADvantage program services;
    • 317:35-17-12. Certification for ADvantage program services;
    • 317:35-17-15. Redetermination of eligibility for ADvantage services;
    • 317:35-17-16. Member annual level of care re-evaluation and annual re-authorization of service plan;
    • 317:35-17-18. ADvantage services during hospitalization or NF placement;
    • 317:35-17-19. Closure or termination of ADvantage services;
    • 317:35-17-21. Case changes;
    • 317:35-17-21.1. ADvantage and agency Personal Care provider certification;
    • 317:35-17-22. Billing procedures for ADvantage services;
    • 317:35-17-23. Disclosure of information on health care providers and contractors; and
    • 317:35-17-24. Referral for social services,
    • 317:35-17-25. Address Confidentiality Program.
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