Irrevocable Trust

Irrevocable trust – means a trust in which the grantor has expressly not retained the right to terminate or revoke the trust and reclaim the trust principal and income. Policy regarding this term is located at: SoonerCare (Medicaid): 317:35-5-41.2. Miscellaneous Personal property; 317:35-5-41.6. Trust accounts; 317:35-5-41.7. Retirement funds; and 317:35-5-41.8. Eligibility regarding long-term care services. […]

Home Visit

Home visit – AFS staff may need to visit a client in his or her home to conduct an interview when requested or to investigate questionable information.  Policy regarding this term is located at: Child Care Subsidy 340:40-3-1. Application process Public Assistance Procedures(all programs): 340:65-3-1. Determination of eligibility; 340:65-3-7. Denial of application. SNAP: 340:50-3-3. Verification; […]

Home and Community Based Waiver (HCBW)

HCBW – is an acronym for Home and Community Based Waiver services.  The services must be approved by Developmental Disabilities Services staff for all DDS waiver services or Aging Services staff for ADvantage waiver services and are paid through the SoonerCare (Medicaid) program.  Policy regarding this term is located at: SoonerCare (Medicaid) [ABD]: 317:35-5-41.10. Changes […]

Community Spouse

Community spouse – refers to the spouse of an individual applying for or receiving nursing facility or Advantage waiver services who resides in the home.

UpdatedIMS Codes for Medical Denials and LTC Authorization Actions

List appropriate codes to use for authorization closures or denials.

ADvantage Waiver

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 […]

ADvantage Waiver Overview

The ADvantage Waiver program is a Medicaid Home and Community Based Waiver.

Home Property with Equity < the Maximum Home Equity Standard

317:35-5-41.8 (a)(3)(F) Equity < the Maximum Home Equity Standard If individual intends to return home property it may be excluded as a countable resource up to 12 months from date of entry into ICF. The home property continues to be an exempt resource if one of the following lawfully resides in the home. Spouse Own […]

Home Property with Equity > the Maximum Home Equity Standard

Home Property Explanation

UpdatedTransfer of Assets/Penalty Period Overview

Transfer of Assets