NewHow to Process Adult Day Care

Step by Step instructions and flow chart

Absence from the Home: Temporary vs Permanent

Determining whether an absence is temporary or permanent.

How to Deny LTC Medical and Section K LTC Authorizations

Instructions regarding proper denials for LTC

PACE Procedures – Certifying PACE with Vending Medical

Procedure for Certifying PACE with Vending Medical

UpdatedHarmony Procedures – Financial Eligibility

ELDERS Procedures regarding Financial Eligibility

UpdatedHarmony Procedures – Closures/Denials

ELDERS Procedures concerning Closures and Denials

Life-Threatening Crisis FAQs

Frequently Asked Questions Regarding LIHEAP/ECAP.

Updated$20 General Income Exclusion

327:35-5-42(d)(1)and(5)(B) The General Income Exclusion (GIE) is a $20 per month income deduction. It is mostly used to bring down countable income that is barely over the standard, so the client can be eligible for a particular benefit. For QMB, SLMB and QI-1, and SPPC, the GIE can be used: First on unearned income If […]

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 […]

Pregnancy and Disability-Related Medical

Process regarding Disability-Related Medical and Pregnancy