Get Latest WorkWORLD

SoonerCare Plus - Guaranteed Period of Eligibility - Oklahoma

NOTE: The SoonerCare Plus Program was discontinued effective January 1, 2004. This information is for archival purposes only. See the SoonerCare Plus - Discontinued topic for additional information.

New SoonerCare Plus recipients receive a period of six months of continuous guaranteed eligibility from the certification date of their current eligibility period. The guaranteed period of eligibility is linked to the recipient and ends under any of the following conditions, among others:

·             An individual receives services in a nursing facility, in an intermediate care facility for the mentally retarded (ICF-MR) or through a Home and Community Based Waiver

·             An individual becomes privately enrolled in a Health Plan

·             The individual would be required to travel more than 25 miles or an average of 45 minutes to obtain primary care services, as determined by the administration

·             An individual lives in or moves to an area excluded from the SoonerCare Plus program

·             A child is in a subsidized adoption

·             The State is unable to locate an individual

·             A determination is made that an individual has committed fraud related to the Medicaid program

·             An error has been made in determining eligibility or the person’s case has been closed due to failure to cooperate with an eligibility determination

·             An individual is no longer in a group which is included in the SoonerCare Plus program

·             An individual is an illegal or ineligible alien

·             An individual is excluded or terminated from the SoonerCare Plus program for any reason

Individuals losing and regaining eligibility within a 90 day period are not entitled to a new period of six months guaranteed eligibility.

For additional details, see:

OAC:317: 25-5-10 at OK Department of Human Services Policy.

Also see:

SoonerCare Plus - Application Procedures - Oklahoma

SoonerCare Plus - Enrollment Requirements - Oklahoma

SoonerCare Plus - Overview - Oklahoma

SoonerCare - Overview - Oklahoma

WorkWORLD™ Help/Information System

   Share/Save: Click the button or link at left to select your favorite bookmark service and add this page.

This is one topic from the thousands available in the WorkWORLD™ software Help/Information System.
Complete information about the software is available at: http://www.WorkWORLD.org