AFS Policy: Medicare

Medicare – -means the federally funded health insurance program also known as Title XVIII of the Social Security Act.  It consists of four separate programs.  Part A is Hospital Insurance, Part B is Medical Insurance, Part C is Medicare Advantage Plans, and Part D is Prescription Drug Coverage.  Policy regarding this term is located at:

  • Public Assistance Procedures (all programs):
    • 340:65-3-1. Determination of eligibility; and
    • 340:65-3-4. Investigation of eligibility conditions and services planning.
  • SNAP:
  • SoonerCare (Medicaid)[ABD]: 
    • 317:35-1-2. Definitions;
    • 317:35-5-25. Citizenship/alien status and identity verification requirements;
    • 317:35-5-43. Third party resources; insurance, workers’ compensation and Medicare;
    • 317:35-7-38. Financial eligibility of categorically needy individuals related to ABD;
    • 317:35-7-40. Eligibility as Qualified Medicare Beneficiary Plus;
    • 317:35-7-41. Eligibility as Qualified Disabled and Working Individual;
    • 317:35-7-43. Eligibility as Specified Low-Income Medicare Beneficiaries;
    • 317:35-7-46. Eligibility as Qualifying Individuals;
    • 317:35-7-48. Eligibility for the SoonerPlan Family Planning Program;
    • 317:35-7-60. Certification for SoonerCare;
    • 317:35-9-29. Application procedures for persons age 65 or older in mental health hospitals;
    • 317:35-9-68. Determining financial eligibility for care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) (public and private), for HCBW/ID services, and for persons age 65 or older in mental health hospitals;
    • 317:35-13-7. Program Abuse and Administrative Sanctions;
    • 317:35-18-2. Introduction;
    • 317:35-19-8. Pre-admission screening and resident review
    • 317:35-19-19. General financial eligibility requirements for NF and skilled nursing care;
    • 317:35-19-21. Determining financial eligibility for care in NF.
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