Long Term Care (LTC): UpdatedWaivered Service Programs – Living Choice Waiver

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What is Oklahoma’s Living Choice?

Oklahoma’s Living Choice is a program designed to transform the long-term care system by promoting community-based services instead of institutional ones. It assists individuals in transitioning from nursing homes back into their own residence.

The Living Choice demonstrate allows people who are institutionalized to move into the community with the necessary services and support.

Who is eligible?

Oklahoma’s Living Choice program offers services to individuals with:

  • Physical disabilities aged 19-64,
  • Chronic illnesses aged 65 and older
  • Intellectual disabilities aged 19 and older

In addition to these categorical age requirements, individuals must meet the following requirements: 

  • Have resided in an institutional setting (Hospital, Skilled, ICF) continuously for a minimum of 60 days.
  • ICF at least one Medicaid paid day.
  • Have a desire to transition back into the community
  • Must be able to actively participate in their plan of care.

For Living Choice Services in an assisted living facility, Brianna Powell in MSU, is notified that a person has been approved for this program and checks financial eligibility. If it appears client is eligible financially, the nursing home authorization is closed, and the Living Choice eligibility is added. Codes are P1 for an elderly person and P3 for a disabled person. Case notes, addresses, and worker numbers are updated when Living Choice member moves into assisted living. The case will remain with Brianna Powell 00C 5504 until member transitions to ADvantage.

Clients can receive Living Choice for up to 365 days, with the Living Choice staff tracking this duration. After this period, eligible clients must transition to the ADvantage Wavier, where the Assisted Living Service is offered.

If AFS workers learn that a person has returned to the nursing home, they must wait 30 days before reapproving nursing home care, as the individual may remain in the Living Choice for up to 30 days while receiving ICF care. Please inform Brianna Powell with MSU of the nursing facility placement so OHCA can be notified.

Since this a long-term care program with a member living in an Assisted Living, it will be moved to worker number 00C 5504. These cases are maintained by Brianna Powell MSU. Brianna Powell completes annual reviews for each specific member. Please do not move these cases out of 00C 5504. Please email Brianna.Powell@okdhs.org and cc OHCA Oklahoma Living Choice Oklahoma.livingchoice@okhca.org for assistance.

For Traditional Living Choice/Money Follows the Person contact HR&MS at AFS.HRMS@okdhs.org and cc Amy.King@okdhs.org

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