Topic: Appendix C-1
Information regarding applications for medical related to DDS services
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 […]
Intended to explain when payment can be made for ICF or ICF/IID care and which income/resource guidelines are used.
Exceptions to the rules
Link to Appendix C-1
When the annual COLA makes a client over income, the benefit can stay open till the new standards come out.
Instructions on Completing the MA-12
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 […]
Income is determined separately for an individual and his/her spouse for ADvantage, Nursing Home Care and Home Community Base Waiver / Intellectually Disabled (HCBW/ID) services. If the Community Spouse (CS’s) monthly gross income is less than the Maximum monthly income standard as shown on Appendix C-1, Schedule XI, the Institutionalized Spouse (IS) may deem a […]
Effective 09/01/2016 Home Property in a revocable trust is considered an available resource. When a client’s home property is in a revocable trust, the worker informs the client or his or her representative that the home property exemption does not apply unless the property is removed from the revocable trust. The worker provides the client […]