AFS Policy: Personal Care Services

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State Plan Personal Care – is a SoonerCare (Medicaid) program. When approved, personal care services provide assistance to an individual in carrying out activities of daily living, such as bathing, grooming, and toileting, or in carrying out instrumental activities of daily living, such as preparing meals and doing laundry or errands directly related to the member’s personal care needs, to assure personal health and safety of the individual or to prevent or minimize physical health regression or deterioration. Policy regarding this program is located at:

Personal Care Services:

  • 317:35-15-1. Overview of long-term medical care services; relationship to QMBP, SLMB and other SoonerCare services and eligibility.
  • 317:35-15-2.  State Plan Personal Care services.
  • 317:35-15-3. Application for State Plan Personal Care.
  • 317:35-15-4. Determination of medical eligibility for State Plan Personal Care.
  • 317:35-15-5. General financial eligibility requirements for State Plan Personal Care.
  • 317:35-15-6. Determining financial eligibility of categorically needy individuals.
  • 317:35-15-7. Certification for State Plan Personal Care.
  • 317:35-15-8. Agency State Plan Personal Care Service Authorization and Monitoring.
  • 317:35-15-8.1. Agency State Plan Personal Care services; billing, and issue resolution.
  • 317:35-15-9. Redetermination of financial eligibility State Plan Personal Care.
  • 317:35-15-10. Redetermination of medical eligibility for State Plan Personal Care services.
  • 317:35-15-12. Case Changes.
  • 317:35-15-13.1. Individual personal care assistant (IPCA) service management.
  • 317:35-15-13.2.  Individual personal care assistants (IPCA) provider contractor, billing, training, and problem resolution.
  • 317:35-15-14. Billing procedures for State Plan Personal Care.
  • 317:35-15-15. Referral for social services.
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