Topic: Medical
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 […]
Policy Links Regarding Ineligible Spouse
IEP – this term is an acronym for Individualized Education Program. Staff from the local school district and the parent or guardian completes an IEP for a child in need of special education services. Policy regarding this term is located at: Child Care Subsidy: 340:40-7-3.1. Child with disabilities. SSP: 340:15-3-1. Eligibility and available services.
Health Insurance Portability and Accountability Act (HIPAA) – Part 160 and Subparts A and E of Part 164 of Title 45 of the Code of Federal Regulations constitute the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, which provides protection for the privacy of health information. Policy regarding this term is located at: Administrative […]
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).
Coding used to certify a case when there is a guardian or representative on a SSP case: For medical benefits, the name of case should match the child’s name for whom the medical benefits if for. The name of the guardian or representative is put in the “Guardian, Substitute Payee, Conservator, Authorized Representative, Other” block […]
Common-law marriage – a type of marriage recognized in Oklahoma in which two people agree that they are married, live together, and present themselves as husband and wife without benefit of a legal ceremony.
If an undocumented or non-qualified alien applies for medical assistance, it is possible that they could be approved for Alien Emergency Services to cover the medical bills.
Assignment of support – is a condition of eligibility for persons applying for TANF when the reason for deprivation is absence. Each applicant or recipient of Temporary Assistance for Needy Families (TANF) must assign to the Oklahoma Department of Human Services (DHS) any child support rights, including cash medical, pending or continuing for any family […]
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 […]