Topic: LTC
Updating Authorization to Denial “2” If found either financially or medically ineligible the AFS worker must code the ACTION BLOCK in the NF authorization In IMS, type EKL <space> case number and press enter. Tab down to the authorization in application status , type aul and press enter. Enter the following Tab to the action […]
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 […]
Use the following steps to access MMIS Extranet from the InfoNet From the “Our InfoNet Home” page; hover the cursor over the Service Divisions dropdown menu. Click on the Adult and Family Services option. Scroll down to Eligibility Determination / Maintenance and click on the MMIS/OHCA option. You may need to click the side arrows […]
The ADvantage Waiver program is a Medicaid Home and Community Based Waiver.
Birth verification is a factor of eligibility for some programs. If the client does not have any birth verification, they should be referred to the Bureau of Vital Statistics in the state they were born. The Center for Disease Control details information on each states process for replacement birth certificates.
How to place an ADvantage Authorization in application status
How to place a Personal Care Authorization in application status NOTE: Remember that Harmony puts the Personal Care authorization in application status automatically. These instructions are for situations in which a Personal Care authorization would need to be put on manually. Check to determine if the Personal Care Authorization is already in application status. Type […]
How to place a Nursing Care Facility Authorization in application status on a currently open case or a new application using IMS: Check to determine if the Nursing Care Authorization is already in application status. Type “EKL Case Number” in IMS. (For example, EKL H000123) and Press Enter. If the authorization is not in application […]
Specified Low-Income Medicare Beneficiary (SLMB) Program to pay Medicare Part B premiums for those whose income is above the QMBP standard. Person must be enrolled in Part A Medicare and paying any associated fees if they have them Persons on one of the LTC medical programs (ADvantage, Nursing Home, DDS) can also be eligible for […]
Updated 10/1/2026 Individuals applying for SoonerCare/Medicaid Services must be considered a resident of Oklahoma and be either a U.S. Citizen or eligible alien. Verification of citizenship must be provided. RESIDENT OF THE STATE OF OKLAHOMA 317:35-5-26 CITIZENSHIP/NONCITIZEN STATUS and IDENTITY verification requirements. 317:35-5-25 To meet the citizenship requirement, the individual must either be a U.S. […]