Qualified Medicare Beneficiary Plus (QMBP)

Qualified Medicare Beneficiary Plus (QMBP) 317:35-7-40 Program to provide SoonerCare services to people considered aged, blind or disabled who have too much income to be eligible for the SSP. Can pay Medicare Part A and Part B premiums/fees for those who have them – commonly known as buy-in. For a new certification, medical benefit can […]

Third-Party Liability (TPL)

Medicaid applicants must disclose to OHCA any resources available to pay for care. This includes private insurance, government benefits (such as Medicare, CHAMPUS or TriCare) and worker’s compensation. All disclosed insurance policies must be entered on the TPL tab in FACS, except for Medicare which should not be entered but should be noted in FACS case […]

Citizenship and Residence Requirements

(Revised 3/26) Individuals applying for SoonerCare/Medicaid Services must be considered a resident of Oklahoma and be either a U.S. Citizen or eligible alien.  Verification of citizenship must be provided. RESIDENT OF THE STATE OF OKLAHOMA 317:35-5-26 To meet the citizenship requirement, the individual must either be a U.S. Citizen or eligible alien.  The most common alien […]

UpdatedABD Overview

Aged, Blind, or Disabled individuals may be eligible for various programs and benefits.

UpdatedSanctions Process – Failure to Participate

The worker should ensure that persons fully understand their rights and responsibilities and the possible consequence of refusal to participate at the time of the initial interview and anytime changes are made to participation assignments. If the TANF recipient fails to participate in the TANF program as agreed, then the worker needs to review the […]

TANF Application Processes

TANF Applications.

Synchronizing Review Dates on TANF Cases

Information on how to synchronize review dates on TANF cases.

Online Enrollment Overview

Web-based enrollment and eligibility process

MICAL Overview

MICAL is the Adult and Family Services standard for computing income.