Topic: OHCA
Link to Oklahoma Health Care Authority Medicaid Programs Page
Process regarding Disability-Related Medical and Pregnancy
Which nursing home should get the vendor payment?
What a special needs trust is, the criteria that must be met to be a special needs trust, what can be done with the money, what happens when the beneficiary dies, what are a worker’s responsibilities in regard to a special needs trust
What is an ABLE account, how does it affect eligibility, what does a worker need to verify
The Oklahoma Health Care Authority administers several waiver programs that offer an alternative to nursing care. These programs give individuals with physical or intellectual disabilities who need institutional care, the opportunity to remain in their home or a community based setting while receiving that level of care. Advantage Assisted Living Waiver The ADvantage Waiver Assisted […]
Information regarding Third Party Liability (TPL) needs to be coded on the TPL tab in FACS so that the Oklahoma Health Care Authority (OHCA) can make sure the private insurance covers their part before OHCA pays anything on a bill. Make a copy of the insurance card so the information from that card can be […]
Link to TEFRA Packet PDF
Insure Oklahoma is an innovative program Oklahoma has created to bridge the gap in health care coverage for low-income working adults. Under the Employer-Sponsored Insurance (ESI) program, premium costs are shared by the state (60%), the employer (25%) and the employee (15%). The Individual Plan (IP) allows people who can’t access the benefits through their […]
There are many other sources of information you can access concerning HIPAA. Some resources that might be applicable include: U.S. Department of Health & Human Services Health Information Privacy Oklahoma Health Care Authority HIPAA Privacy Notice