UpdatedDiversion Assistance

Key points regarding the Diversion Assistance Program

UpdatedDiversion Assistance FAQs

Frequently Asked Questions Regarding the Diversion Assistance Program.

Medical Applications & DDS Services

Information regarding applications for medical related to DDS services

Tuberculosis (TB) Cases

317:35-5-4.(4) 317:35-5-47 317:35-7-60(a)(5) 317:35-7-44   The TB program is intended to cover treatment for the condition. It does not provide full SoonerCare coverage. If applicant wants full SoonerCare but is not age 65 or older, s/he will need to apply with Social Security to get a disability decision. What is needed to determine eligibility Verification […]

30 Day Out of Home Requirement (ICF or ICF/IID Institutionalization)

Intended to explain when payment can be made for ICF or ICF/IID care and which income/resource guidelines are used.

30 Day Out of Home Requirement (Hospital & Skilled Care)

Exceptions to the rules

Appendix C-1

Link to Appendix C-1

Income – Social Security COLA and Continued Eligibility

When the annual COLA makes a client over income, the benefit can stay open till the new standards come out.

How to Complete the Title XIX Worksheet (Community Spouse)

Instructions on Completing the MA-12

Determining Eligibility of ABD Couples (Short Term Programs)

How to use the income standards in determining eligibility for an Eligible Couple.