Topic: ADvantage Waiver
OHCA Appeals Unit handles the appeals for ADvantage (not DHS Appeals Unit)
Procedures for Case Number Changes
Key Differences between Personal Care and ADvantage Waivers.
Earned income when determining vendor payments
Medical Timeliness including Long Term Care Authorizations.
Other Waivered Programs – Living Choice
Services provided by PACE
Although each spouse’s income is considered separately when determining financial eligibility for long-term care, there’s no provision in SSP policy to allow the Community Spouse to become eligibile for SSP when the couple’s combined income is over the ABD couple standard. When one or both is approved for ADvantage or other HCBW all income is […]
Determining Countable Resources
ADvantage Waiver – a long term care SoonerCare (Medicaid) program. Persons using this program are eligible for nursing home level of care but chose to receive services to remain in their homes. Policy regarding this term is located at: SoonerCare (Medicaid): 317:35-17-1. Overview of long-term medical care services; relationship to QMBP, SLMB and other Medicaid […]