Determining Categorical Relationship
To be eligible for SoonerCare/Medicaid Personal Care (PC) services an individual must first meet the description of a member eligibility group as shown below. The Personal Care program is also known as State Plan Personal Care (SPPC).
ABD Related – For individuals related to the blind or disabled groups, s/he must have a categorical relationship that has already been determined by the Social Security Administration.
- Aged (65 or older) or
- Disabled or blind as defined above
Non ABD Related – An individual who is not ABD-related meets the categorical relationship requirement if s/he is receiving TANF or is in OHCA’s online enrollment population in one of the following eligibility groups:
- Children under the age of 19 years
- Parents and Caretaker Relatives.
OHCA online enrollment eligibility can be verified by checking iCE eligibility.
If the client is not in OHCA’s online enrollment population eligibility will have to be determined through OHCA’s online enrollment process.