How to Submit a Health-Related and Medical Services Overpayment

The following information should be sent to the Benefit Integrity and Recovery Section (BIRS) in the form of a memo or by e-mail to: overpayments@okdhs.org. Client name and case number Time frame of the overpayment Date case was corrected Discovery date – the discovery date is the date the agency first became aware of the […]

Qualified Individuals – (QI-1)

Definition of QI-1

UpdatedSpecified Low Income Medicare Beneficiary (SLMB)

Specified Low-Income Medicare Beneficiary (SLMB) Program to pay Medicare Part B premiums for those whose income is above the QMBP standard. Person must be enrolled in Part A Medicare and paying any associated fees if they have them Persons on one of the LTC medical programs (ADvantage, Nursing Home, DDS) can also be eligible for […]

Qualified Medicare Beneficiary Plus (QMBP)

Qualified Medicare Beneficiary Plus (QMBP) 317:35-7-40 Program to provide SoonerCare services to people considered aged, blind or disabled who have too much income to be eligible for the SSP. Can pay Medicare Part A and Part B premiums/fees for those who have them – commonly known as buy-in. For a new certification, medical benefit can […]

UpdatedCitizenship and Residence Requirements

Updated 10/1/2026 Individuals applying for SoonerCare/Medicaid Services must be considered a resident of Oklahoma and be either a U.S. Citizen or eligible alien. Verification of citizenship must be provided. RESIDENT OF THE STATE OF OKLAHOMA 317:35-5-26 CITIZENSHIP/NONCITIZEN STATUS and IDENTITY verification requirements. 317:35-5-25 To meet the citizenship requirement, the individual must either be a U.S. […]

UpdatedABD Overview

Aged, Blind, or Disabled individuals may be eligible for various programs and benefits.

UpdatedHow Do I Create a D or B Case for a Child?

How Do I Create a D or B Case for a Child

How Do I Create an A Case?

Instructions on how to create an A case using the PS1B transaction in IMS In IMS, type ps1b Press Enter Tab to Case Number and enter A Tab to Section Field and enter B Enter App Date in MM/DD/YY format Enter Supervisor Number Enter Worker Number Enter County Number Enter Office Code UE PT: Leave Blank RN […]

How Do I Create a D Case for an Adult?

Instructions on how to create a D case for an adult using the PS1B transaction in IMS In IMS, type ps1b Press Enter Tab to Case Number field and enter an A, B, or D Note: Determined by categorical relationship. A = Aged Case, B = Blind Case, D = Disabled Case. Tab to Section […]

Income: Net Income Standard

This article explains the net income standard and how it relates to elderly and disabled households.