Medical | Quest | Page 2

Income – Garnishment, Overpayment, Deferments, or Suspension Status

Last Updated August 21, 2025

For ABD benefits, always count the gross.

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Aged, Blind, buy-in. Medicare Savings Program, Disability, Disabled, earned, garnishment, Income, Lien, Medicaid, Medical, Medicare premium, Overpayment, Paycheck, QI-1, QMBP, Qualified Medicare Beneficiary Plus, Qualifying Individual, Retirement, RSDI, Salary, SLMB, Social Security, SoonerCare, Specified Low Income Medicare Beneficiary, SSA, SSI, SSP, State Supplemental Payment, UIB, unearned, unemployment, VA, Veterans Administration

How to Process Adult Day Care

Last Updated March 7, 2024

Step by Step instructions and flow chart

Subject: Long Term Care (LTC) Topics: 4, Adult Day Care, Advantage, Aged, Aging and Protective Services, approval, CAP, Community Living, DDS, Denial, Developmental Disabilities Services, Elderly, Facility, federal, four, Harmony, HCBS, health, Home and Community-Based Services, Long Term care, LTC, Medical, Months, permanent, state, temporary, Waiver

UpdatedAbsence from the Home: Temporary vs Permanent

Last Updated May 4, 2026

Determining whether an absence is temporary or permanent.

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Absence, Aged, alone, Blind, camper, Care, countable, Disabled, dwelling, Exempt, feasible, fixed, health, home, hospital, house, improve, long, Medical, mobile, Nursing Home, Payment, permanent, plan, possible, primary, property, QI-1, QMBP, Qualified Individual – Group 1, Qualified Medicare Beneficiary Plus, realistic, recreational vehicle, rehabilitation, Residence, Resource, RV, Shelter, short, sick, SLMB, Specified Low Income Medicare Beneficiary, SSP, state, supplemental, temporary, time, trailer, trip, vacation, viable, visit, well

How to Deny LTC Medical and Section K LTC Authorizations

Last Updated September 13, 2022

Instructions regarding proper denials for LTC

Subject: Long Term Care (LTC) Topics: ADvantage Denial, Authorization, denial reason, EKL, FACS, LTC, LTC denial, Medical, Personal Care, Reason Code, SPPC

PACE Procedures – Certifying PACE with Vending Medical

Last Updated September 10, 2021

Procedure for Certifying PACE with Vending Medical

Subject: Long Term Care (LTC) Topics: Advantage, Harmony, LTC, Medical, OHCA, PACE, PACE certification, Personal Care, SPPC, Vending Medical

Harmony Procedures – Financial Eligibility

Last Updated October 24, 2024

ELDERS Procedures regarding Financial Eligibility

Subject: Applications & Tools, Harmony Topics: Advantage, approval, auth, D Section, Financial Eligibility, Harmony, incorrect coding, LTC, Medical, notices, Remedy Ticket, SPPC

Harmony Procedures – Closures/Denials

Last Updated October 24, 2024

ELDERS Procedures concerning Closures and Denials

Subject: Applications & Tools, Harmony Topics: Authorization, client request, Closures, Death, Denials, Fair Hearing, Financial Eligibility, Harmony, LTC, Medical, not eligible

Life-Threatening Crisis FAQs

Last Updated June 29, 2026

Frequently Asked Questions Regarding LIHEAP/ECAP.

Subject: LIHEAP / ECAP Topics: Address Change, ECAP, Electric Bill, energy assistance, life-threatening, LIHEAP, Medical, medical equipment, medical necessity, propane

$20 Rule and Case Examples

Last Updated August 3, 2026

Examples & coding regarding the General Income Exclusion

Subject: Aged, Blind, Disabled (ABD), Programs Topics: $20, ABD, Aged, Blind, buy-in, Deduction, Disabled, dollars, earned, exclusion, FACS, general, general income exclusion, GIE, Income, income exclusion, Individual, Low-Income, Medical, QI-1, QMBP, Qualified Medicare Beneficiary Plus, SLMB, Specified Low Income, SSP, standard, State Supplemental Payment block, twenty, unearned

Tuberculosis (TB) Cases

Last Updated September 22, 2022

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 […]

Subject: Aged, Blind, Disabled (ABD) Topics: ABD, Appendix C-1, Certify, Deductions, Disability, Exempt, FACS, Income, infection, Medical, Resources, Schedule XIII, standard, TB, three months, treatment, Tuberculosis