Resource – Contracts for Deed

How to consider contracts for Deeds as Income / Resources

Fleeing Felons

What benefits can a fleeing felon be eligible for?

Categorical Relationship

Categorical Relationship for ABD

Coding Special Medical

The Finance and Medical sections will need to be closed with the appropriate code such as earned income exceeds agency standards; RSDI income exceeds agency standards, etc. The case will be certified for Special Medical. You will not need a new application or get any new documentation from the client for this certification. Example: Reba […]

How to Retro-Certify the State Supplemental Payment (SSP)

Process for certifying SSP benefits for more than 2 months prior

ELIGIBILITY – Social Security Income

Income Determination for Child Only TANF State Supplemental Income – SSI Parent most likely would be eligible for an ABD case. Income is not considered for TANF case. Parent with Retirement, Survivor, Disability Income – RSDI (SSA). If the parent receives RSDI (SSA) but does not have an ABD case and does not receive any […]

Cost Share Copays for SoonerCare Members

Information Regarding Copays for SoonerCare Members

Buy-In – What is Buy-In?

What is Buy-In? “Buy-in” is the procedure whereby the Oklahoma Health Care Authority (OHCA) pays the client’s Medicare premium through the Centers for Medicare & Medicaid Services (CMS). DHS determines eligibility and oversees operation of Buy-in Program CMS oversees Medicare program Social Security Administration (SSA) enrolls people in Medicare The Buy-in programs are QMB, SLMB […]

Buy-In – Medicare Buy-in Problems and Solutions

If there are any issues with the Buy-In, look over the following items to verify that they are correct on the case: Certification period 12 months Claim number on Bendex (Block B07) Medicare cards are now issued with a new Medicare number that is unique to the beneficiary instead of using SSN-based Health Insurance Claim […]