End Stage Renal Disease (ESRD) Medicare

What is ESRD Medicare and what assistance DHS can offer

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 […]

Applications – ABD Related & SSA Appeal

Information regarding previously denied applications and when they can be used again to certify a medical benefit.

Applications – SSP & Medical Pending Social Security Decision

Q&A on New ABD applications with pending SSA decision.

How to Certify SLMB

The coding to certify a case in FACS for SLMB

How to Certify QI-1

QI-1 can be certified effective three months prior to the month of application, if all factors of eligibility were met all three months. For additional information regarding factors of eligibility for QI-1, refer to article ABD: Qualified Individuals – Group 1 (QI-1). If all factors of eligibility were NOT met prior to month of application, […]

How to Move a Case from Special Medical to SSP

How to move a case from Special Medical to SSP.

How to Certify a Child Care Application (Non-Unfinished Issuance)

How to certify a child care case/authorization lines.