UpdatedSupplemental Security Income Disabled Children’s Program (SSI-DCP)

Policy Links Regarding SSI-DCP

Specified Low-Income Medicare Beneficiaries (SLMB)

Specified Low-Income Medicare Beneficiaries (SLMB) – means individuals who, except for income, meet all of the eligibility requirements for QMBP eligibility and are enrolled in Medicare Part A.  When approved for SLMB, Medicaid pays for the Medicare Part B premium.  Policy regarding this term is located at: Public Assistance Procedures (SoonerCare): 340:65-3-1. Determination of eligibility; […]

UpdatedSupplemental Security Income (SSI)

Supplemental Security Income (SSI) – is a benefit paid by the Social Security Administration to individuals who are disabled or 65 years of age or older with limited income and resources.

Revocable Trust

Revocable trust: means a trust in which the grantor has retained the right to terminate or revoke the trust and reclaim the trust principal and income. Unless a trust is specifically made irrevocable, it is revocable. Even an irrevocable trust is revocable upon the written consent of all living persons with an interest in the […]

Qualifying Individual (QI-1)

Qualifying Individual (QI-1) – means certain aged, blind or disabled individuals who are enrolled in Medicare Part A, meet the Medicaid Qualifying Individual income and resource standards and meet all other Medicaid eligibility requirements. When approved for QI-1, Medicaid pays for the Medicare Part B premium. A QI recipient cannot be receiving or eligible for […]

Qualified Disabled and Working Individual (QDWI)

Qualified Disabled and Working Individual (QDWI) – means individuals who have lost their Title II Social Security benefits due to excess earnings, but have been allowed to retain Medicare coverage.  Policy regarding this term is located at: Public Assistance Procedures (SoonerCare):  340:65-3-1. Determination of eligibility. SoonerCare (Medicaid)[ABD]:  317:35-1-2. Definitions; 317:35-5-63. Agency responsible for determination of […]

Personal Care Services

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 […]

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: […]

Level of Care Evaluation Unit (LOCEU)

LOCEU – acronym used for the Oklahoma Health Care Authority’s Level of Care Evaluation Unit.