Categorically needy – is a SoonerCare (Medicaid) term that means income and when applicable, resources are within the standards for the category to which the individual is related.  Policy regarding this term is located at:

• SoonerCare (Medicaid)[ABD]:
  • 317:35-1-2. Definitions;
  • 317:35-7-38. Financial eligibility of categorically needy individuals related to ABD;
  • 317:35-7-44. Eligibility for TB related services;
  • 317:35-7-60. Certification for SoonerCare;
  • 317:35-7-61. Redetermination of eligibility for persons receiving ABD or TANF;
  • 317:35-9-1. Overview of long-term medical care services; relationship to QMB, SLMB, and other Medicaid services eligibility, and spenddown calculation;
  • 317:35-9-5. Home and Community – Based Services (HCBS) Waivers for persons with intellectual disabilities or certain persons with related conditions;
  • 317:35-9-65. General financial eligibility requirements for ICF/IID, HCBW/IID and individuals age 65 or older in mental health hospitals;
  • 317:35-9-67. Determining financial eligibility of categorically needy individuals;
  • 317:35-9-68. Determining financial eligibility for care in an ICF/IID (public and private); for HCBW/IID services, and for persons age 65 or older in mental health hospitals;
  • 317:35-15-1. Overview of long-term medical care services; relationship to QMBP, SLMB and other SoonerCare services and eligibility;
  • 317:35-15-6. Determining financial eligibility of categorically needy individuals;
  • 317:35-17-1. Overview of long-term medical care services; relationship to QMBP, SLMB and other Medicaid services eligibility;
  • 317:35-17-3. ADvantage program services;
  • 317:35-17-9. General financial eligibility requirements for the ADvantage program;
  • 317:35-17-11. Determining financial eligibility for ADvantage program services;
  • 317:35-19-19. General financial eligibility requirements for NF and skilled nursing care;
  • 317:35-19-20. Determining financial eligibility of categorically needy individuals;
  • 317:35-19-21. Determining financial eligibility for care in NF; and
  • 317:35-19-22. Certification for NF.
• SoonerCare (Medicaid)[OE]: 
  • 317:35-1-2. Definitions;
  • 317:35-5-45. Determination of income and resources for children and parents and caretaker relatives;
  • 317:35-6-35. General eligibility consideration;
  • 317:35-6-36. Financial eligibility of individuals categorically related to AFDC or pregnancy-related services; and
  • 317:35-6-37. Financial eligibility of categorically needy individuals related to AFDC or pregnancy-related services.