Topic: Medical
MMIS stands for: Medicaid Management Information System. It is used to verify eligibility for medical programs. Access MMIS Extranet from your desktop or from the InfoNet. Refer to article: How Do I Access MMIS Extranet from the InfoNet? On the initial screen of MMIS Extranet Page, click Eligibility Select from 4 options to look up […]
Each ABD related applicant must have their own medical case. If the applicant is applying for State Supplemental Payment (SSP): Create a “D” (disability) case for any applicant that has applied for SSI based on a disability or is already receiving SSI due to being determined “disabled” by the SSA. Create an “A” (aged) case […]
Explanation of PKU Certification
For SSI-DCP Services, the Social Services “E” section (Child Care) must be opened, and the child needs to be added to the social services benefit. If no previous disability medical case exists for the child, a new case will need to be created. Please refer to article IMS: How Do I Create a D Case […]
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; […]
Special medical status – occurs in certain instances when an individual’s SSP benefit or TANF cash assistance closes and the individual or family remains eligible for medical benefits. For TANF, this occurs when the TANF cash assistance payment would be less than the $10 minimum TANF benefit or when the TANF benefit is frozen while […]
Qualified Medicare Beneficiaries Plus (QMBP) – means certain aged, blind or disabled individuals who may or may not be enrolled in Medicare Part A, meet the Medicaid QMBP income and resource standards and meet all other Medicaid eligibility requirements. When approved for QMBP, Medicaid pays for Medicare premiums, deductibles, and co-insurance. Policy regarding this term […]
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 […]