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

UpdatedSpousal Impoverishment Examples – Resources

Resources are determined by adding the total resources that are individually and jointly available to the couple as of the month of the individual’s entry into the nursing facility, regardless of the date of application for Medicaid. For ADvantage and HCBW use the date of application to determine total resources for the couple. The amount […]