Topic: Medicaid
Title XIX and XXI– the Federal legal base of the Medical Assistance program is vested in Titles XIX and XXI of the Federal Social Security Act. These titles are used throughout SoonerCare (Medicaid) rules. Policy regarding this term is located at: SSP: 340:15-1-4. State Supplemental Payment plan; and 340:15-1-5. State Supplemental Payment. SoonerCare (Medicaid): 317:35-1-1. […]
Policy Link Regarding TEFRA
Specified Low-Income Medicare Beneficiaries (SLMB) – means individuals who, except for income, meet all of the eligibility requirements for QMBP eligibility and are enrolled in Medicare Part A. When approved for SLMB, Medicaid pays for the Medicare Part B premium. Policy regarding this term is located at: Public Assistance Procedures (SoonerCare): 340:65-3-1. Determination of eligibility; […]
Suspension – means an administrative action to temporarily interrupt receipt of SSP or SoonerCare (Medicaid) benefits.
MAGI – acronym for Modified Adjusted Gross Income. Financial eligibility for persons eligible to apply using Online Enrollment (OE) is determined using the modified adjusted gross income on income tax forms. Policy regarding this term is located at: SoonerCare (Medicaid)[OE]: 317:35-5-46. Determination of income and resources for categorical relationship to pregnancy-related services; 317:35-6-1. Scope and […]
Medicaid – is a health insurance program jointly funded by the state and federal governments but managed by the states. This term is used throughout SoonerCare (Medicaid) policy. Chapter 35. Medical Assistance for Adults and Children – Eligibility: 317:35-1-1. Purpose 317:35-1-2. Definition 317:35-1-3. Legal bases Coverage and Exclusions: 317:35-3-1. Payment for Medicaid Eligibility and Countable […]
LOCEU – acronym used for the Oklahoma Health Care Authority’s Level of Care Evaluation Unit.
Policy Links Regarding Ineligible Spouse
Policy Links Regarding Eligible Couple
Eligible individual – a person who is single aged, blind, or disabled and meets the income and resource standard for a money payment and SoonerCare (Medicaid).