Topic: ABD
Community spouse – refers to the spouse of an individual applying for or receiving nursing facility or Advantage waiver services who resides in the home.
Common-law marriage – a type of marriage recognized in Oklahoma in which two people agree that they are married, live together, and present themselves as husband and wife without benefit of a legal ceremony.
If an undocumented or non-qualified alien applies for medical assistance, it is possible that they could be approved for Alien Emergency Services to cover the medical bills.
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; […]
Categorical relationship – a term used in the SoonerCare (Medicaid) Program that means the individual meets basic eligibility requirements for an eligibility group. An adult must be pregnant, have children under the age of 18 in the home, be 65 years of age or older, or meet the Social Security Administration’s definition for being disabled […]
Cash assistance – a term used to indicate the SSP, TANF, or Refugee benefit. In SSP policy the term used is payment. The client’s SSP or TANF benefit is issued on a MasterCard debit card or deposited in a financial account designated by the client. Policy regarding this term is located at: Child Care Subsidy: […]
Buy-In – means the procedure whereby the Oklahoma Health Care Authority pays the person’s Medicare premium.
Policy Links Regarding Application Process
Use the following steps to access MMIS Extranet from the InfoNet From the “Our InfoNet Home” page; hover the cursor over the Service Divisions dropdown menu. Click on the Adult and Family Services option. Scroll down to Eligibility Determination / Maintenance and click on the MMIS/OHCA option. You may need to click the side arrows […]
Birth verification is a factor of eligibility for some programs. If the client does not have any birth verification, they should be referred to the Bureau of Vital Statistics in the state they were born. The Center for Disease Control details information on each states process for replacement birth certificates.