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Definitions of Medicaid in Oklahoma
Medicaid in Oklahoma*
"SoonerCare (Oklahoma Medicaid) is a health coverage program jointly funded by the federal and state government. This program helps pay some or all medical bills for many people who can't afford them. The Oklahoma Health Care Authority (OHCA) is the state agency that administers the program and determines financial eligibility for the program.
"
*source: Oklahoma Health Care Authority
, Oklahoma City, OK 73107
Children's Medicaid in Oklahoma
See the section on this page
Health Programs for Children: CHIP: Oklahoma
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Medicaid in Oklahoma: How It Works; An Introduction to Oklahoma Medicaid; What is Oklahoma Medicaid?
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- web page:
Oklahoma Medicaid
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the web page:
" Program Description - Medicaid is a Federal and State entitlement program that provides medical benefits to low-income individuals who have no or inadequate health insurance coverage. Oklahoma Medicaid guarantees coverage for basic health and long-term care services based upon income and/or resources for eligible Oklahoma residents...
"
- web page:
Health-Related and Medical Svcs.: SoonerCare (Medicaid)
source:Oklahoma Department of Human Services
languages: English
from the web page:
" SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability. The following programs are a part of SoonerCare...
"
- web page:
Key Medicaid Information for Oklahoma for 2010
source:Elder Law Answers
languages: English
Explains important basics about Oklahoma Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery..."
- brochure:
The Medicaid Program at a Glance
source:The Kaiser Commission on Medicaid and the Uninsured
file size: 2 pg. languages: English
This fact sheet provides an overview of the Medicaid program, the populations that it serves, the services that it covers and the expanded role it will play under the health reform law...
- also from The Kaiser Commission on Medicaid and the Uninsured:
brochure:
Medicaid: A Primer
languages: English
from the brochure:
"This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare...
"
- web page:
Oklahoma & United States State Medicaid Fact Sheets
source:Kaiser Family Foundation
languages: English
Oklahoma Medicaid Eligibility, How to get Medicaid in Oklahoma, Requirements, Medicaid Income Limits
- web page:
Eligibility, How to Apply and Contact Information
source:Oklahoma Department of Human Services
languages: English
from the web page:
"Adults with children under age 18:
•Recipients of the Temporary Assistance to Needy Families (TANF) program are automatically eligible for health benefits.
•Adults with children under the age of 18 who do not receive TANF may, in some circumstances, also be eligible for medical services. The income guidelines are presented in Appendix C-1 (.pdf, 8 pp, 316 KB) Schedule X. (Resources are not considered with this group.)
Children under age 19 and pregnant women
•Children under the age of 19 and pregnant women whose family incomes meet the income guidelines in Appendix C-1 (.pdf, 8 pp, 316 KB) Schedule I.A may be eligible for medical benefits. (Resources are not considered with this group.)
Aged, Blind or Disabled..."
- web page:
2011 HHS Poverty Guidelines
source: Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services
languages: English
from the web page:
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
- web page:
Medicaid Eligibility
source: Centers for Medicare & Medicaid Services
languages: English
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
Oklahoma Medicaid Citizenship Requirements
- web page:
Citizenship Guidelines
source:Oklahoma Health Care Authority
languages: English
from the web page:
"SoonerCare members and applicants who are United States citizens must provide a one-time proof of citizenship and identity starting July 1, 2007, because of a new federal law. You can prove both citizenship and identity with one document if you have a...
"
Applying for Oklahoma Medicaid
- web page:
How to Apply (SoonerCare)
source:Oklahoma Health Care Authority
languages: English
from the web page:
"Based on your situation, there are a few different ways to apply for SoonerCare. Below are your options if you meet the citizenship and income guidelines and are in one of the following categories:
...
Oklahoma Medicaid Offices; Medicaid HELPLINE
Oklahoma Medicaid Health Plans, HMO
- publication:
Medical Home Providers by County and Specialty - Medicos por condado y por especialidad
source:Oklahoma Health Care Authority
81 pages; languages: English, Spanish
- also from Oklahoma Health Care Authority:
web page:
SoonerCare Choice
languages: English
from the web page: "SoonerCare Choice is a Primary Care Case Management (PCCM) program in which each member has a medical home. The medical home provider will coordinate all health care services to qualifying Oklahomans...."
- web page:
Health Management Program
languages: English
from the web page: "The Health Management Program was started to help SoonerCare Choice members who have a chronic disease to improve their health.
The Iowa Foundation for Medical Care was chosen by the Oklahoma Health Care Authority to provide services to HMP members.
...."
- web page:
Oklahoma Cares - Breast and Cervical Cancer Treatment Program
languages: English
from the web page: "Oklahoma Cares is a partnership of the Oklahoma State Department of Health (OSDH), the Oklahoma Health Care Authority (OHCA), the Cherokee Nation, the Kaw Nation of Oklahoma, and the Oklahoma Department of Human Services (OKDHS). This program provides treatment for breast and cervical cancer and pre-cancerous conditions to eligible women..."
Find Oklahoma Medicaid Physicians, SoonerCare Doctors
- web page:
Find a Provider (SoonerCare)
source:Oklahoma Health Care Authority
languages: English, Spanish
from the web page: "Medical Home
Providers by County and Specialty...."
notes: this page links to directories for SoonerCare (Oklahoma Medicaid) doctors, clinics, dentists, pharmacies, optometrists, and other specialists. Disclaimers: Call the Provider first to see if they are accepting new patients.
Children's Medicaid: Health Programs for Children: Oklahoma CHIP, SCHIP:
What is Medicaid for children in Oklahoma?
The Oklahoma State Children’s Health Insurance Program, or SCHIP:
- "
The State Children's Health Insurance Program, also known as SCHIP, provides health care coverage for uninsured infants, children and teen-agers in Oklahoma. Oklahoma and every state in the nation have this program. Your child is eligible for SCHIP if your family income meets a certain Federal guideline based on a higher income bracket than the traditional Medicaid program.
source: GovBenefits.gov (www.GovBenefits.gov), Washington, D.C.
The Oklahoma Child Health program:
- "
Child Health, also known as Early and Periodic Screening, Diagnosis and Treatment (EPSDT), is a preventive health care package for children age 20 or younger enrolled in Oklahoma Medicaid.
"
source: Oklahoma Health Care Authority
, Oklahoma City, OK 73107
What is CHIP?
- "
Originally created in 1997, the Children's Health Insurance Program (CHIP) is a state and federal partnership that provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage. States have considerable flexibility to establish income eligibility rules for CHIP, but children enrolling in the program must be otherwise uninsured.
"
source: InsureKidsNow.gov - Sponsored by the U.S. Department of Health and Human Services.
, Washington, DC
- web page:
Child Health
source:Oklahoma Health Care Authority
languages: English
from the web page: "The Child Health program lets children with SoonerCare get FREE medical, vision, hearing and dental check-ups and services. The goal of the program is to improve the health status of children by making sure they receive preventive services and follow-through care. Seeing a health care provider regularly, even when feeling well, may help prevent serious health problems in the future....."
- bublication / brochure:
Children’s Health Coverage Oklahoma
source:Children's Defense Fund
languages: English
from the web page: "General information about children’s health coverage... - State-based resources, including possible enrollment partners - Steps for enrolling a child in coverage program - Follow-up flyer for parents - Health resources, by county, for children who are not eligible for coverage...
Oklahoma’s Sooner Care provides free and low-cost health care for children. If you are a family of four with income of $40,793 or less, your child may be eligible..."
- also from Children's Defense Fund:
brochure:
Health Coverage for All Children: Oklahoma
2 pages; languages: English
from the brochure:
"Despite difficult economic times, Oklahoma was one of 23 states that took steps to improve
health coverage for children in the last year. In 2009, Oklahoma made plans to expand the state’s Medicaid premium assistance program to children with family income up to 300 percent of poverty....
"
- web page:
Children First - What is the Children First Program?
source:Muskogee County Health Department
languages: English, Spanish
from the web page:
"The Children First program is a voluntary program for first-time moms. A caring specially trained public health nurse will visit you in your home throughout your pregnancy and up until your baby is 2 years old, at no charge to you....
"
- brochure or publication:
Oklahoma MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
from the web page:
"Forty-nine percent of Oklahoma’s children are enrolled in Medicaid. It costs Oklahoma just $1,391 per year, on average, for each Medicaid-eligible child compared to the average costs per adult Medicaid enrollee of $6,238.
"
- Medicaid brochure:
Oklahoma Public Health Insurance for Children
source:National Center for Children in Poverty (NCCP)
languages: English, Spanish
from the brochure:
"...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,...
"
- also from National Center for Children in Poverty (NCCP):
web page:
Oklahoma Public Health Insurance for Parents
languages: English
from the web page:
"Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ...
"
- web page:
Oklahoma Demographics of Low-Income Children
languages: English
from the web page:
"Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income...
"
- web page:
Oklahoma: CHIP Program Name and Type
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
"
- web page:
Oklahoma Medicaid, SCHIP, & Federal Authority
source:State Coverage Initiatives
languages: English
Oklahoma Medicaid Benefits and Coverage: Medicaid Services
- brochure or publication:
Oklahoma ABLE Tech - Medicaid Fact Sheet
source:Oklahoma ABLE Tech
3 pages; languages: English, Spanish
from the brochure or publication:
"What services are paid? Oklahoma Medicaid covers many health care services. However, there are limitations that apply to ensure that only medically necessary services are provided. Some services are for children only.....
"
- brochure or publication:
Women and Medicaid in Oklahoma
source:National Women's Law Center
3 pages; languages: English, Spanish
from the brochure or publication:
"Nationally, nearly 17 million nonelderly women— including 9 percent of those living in Oklahoma—are covered through Medicaid.1,2 In fact, women comprise the majority (62 percent) of Oklahoma’s adult Medicaid beneficiaries.3 Women
are more likely than men to qualify for Medicaid because they tend to be poorer and are more likely to meet the program’s stringent eligibility criteria....
"
- brochure or publication:
Mental Health and Substance Abuse Services in
Medicaid and SCHIP in Oklahoma (2003)
source: US Dep't of Health and Human Services, Substance Abuse and Mental Health Services Administration
file size: 7 pg.; languages: English
from the brochure:
"As of July 2003, 545,326 people were covered under Okalahoma's Medicaid/SCHIP programs. There were 498,031 enrolled in the Medicaid program, and 47,295 enrolled in the Medicaid SCHIP expansion program. In state fiscal year 2003, Oklahoma spent $2.4 billion to provide Medicaid services....
"
Medicaid Prescription Drugs; Preferred Drug List
Oklahoma Medicaid Dental Services; Dentist
- web page:
Dental -
What We Do (SoonerCare)
source:Oklahoma Health Care Authority
languages: English
from the web page: "Oklahoma Medicaid pays for preventative, diagnostic, and restorative services for eligible patients under the age of 21. Some limited exams, limited x-rays, and emergency extractions are covered for eligible recipients age 21 and over..."
- web page:
Find an Oral Health Provider: Oklahoma Dental Providers
source:InsureKidsNow.gov
languages: English
- brochure or publication:
Guide to Children's Dental Care in Medicaid
source:Centers for Medicare & Medicaid Services
52 pages; languages: English
from the brochure: "The Guide is intended to serve as a resource of current information on clinical practice, evolving technologies and recommendations in dental care. The guide is not intended to change current Medicaid policies, nor is it intended to impose any new requirements on states..."
- also from Centers for Medicare & Medicaid Services:
web page:
Medicaid Dental Coverage - Overview
languages: English
from the web page:
"Dental services under Title XIX of the Social Security Act, the Medicaid program, are an optional service for the adult population, individuals age 21 and older. However, dental services are a required service for most Medicaid-eligible individuals under the age of 21, as a required component of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit...
"
Other Health Coverage Options in Oklahoma
- web page:
Search for Health Centers by State or County
source:U.S. Department of Health & Human Services
languages: English
from the brochure:"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide
•checkups when you're well
•treatment when you're sick
•complete care when you're pregnant
•immunizations and checkups for your children
•dental care and prescription drugs for your family
•mental health and substance abuse care if you need it..."
- brochure:
Oklahoma Health Center Fact Sheet
source: National Association of Community Health Centers (NACHC)
languages: English
from the brochure:"Oklahoma Federally-Supported Health Centers, 2008... Number of Organizations... Number of Delivery Sites... Total Patients..."
- also from National Association of Community Health Centers (NACHC):
web page:
Find a Health Center
languages: English
from the web page:
"If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish...
"
- brochure:
Oklahoma Health Care Options Matrix™ Guide
source:Foundation for Health Coverage Education
2 pages; languages: English, Spanish
from the brochure: "...hand-held guide available that outlines your state’s (Oklahoma) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites...
"
- brochure:
Consumer Guide for Getting and Keeping Health Insurance in Oklahoma.
source:Georgetown University Health Policy Institute
file size: 41 pg.; languages: English
from the brochure:
"...This guide describes your protections as an Oklahoma resident. Chapter 1 gives an overview of your protections. Chapters 2 and 3 explain your protections under group and individual health insurance. Chapter 4 highlights your protections as a small employer. Chapter 5 summarizes help that may be available to you if you cannot afford health coverage. If you move away from Oklahoma,
your protections may change...
"
Oklahoma Medicaid and Nursing Homes, Assisted Living, Home Health Care
- web page:
Living Choice
source:Oklahoma Health Care Authority
languages: English
from the web page: "The Oklahoma Living Choice Project promotes community living for people of all ages who have disabilities or long-term illnesses. The project gives Oklahomans more options for managing their health care needs and adding more balance to the state’s long-term care system..."
- also from Oklahoma Health Care Authority:
brochure:
Living Choice Fact Sheet
languages: English
from the web page:
"The Oklahoma Living Choice Project is designed to help Oklahomans who live with a physical disability, mental disability or long-term illness transition out of nursing homes and into the community....
"
-
web site:The Oklahoma Long Term Care Care Project
Oklahoma Medicare Medicaid Nursing Homes Directory
languages: English
from the web page:
"These are Oklahoma Nursing Homes in cities A - Z.
" In addition to the state directory described above, there are nursing home directories for principal Oklahoma cities. A few examples:
Oklahoma Assisted Living
languages: English
from the web page:
"A consumer's guide to information and help about assisted living in Oklahoma, with a directory of assisted living facilities...
"
Oklahoma Medicare / Medicaid Dual Eligibles - Medicaid for people who are on Medicare
Oklahoma Medicaid Waiver Programs
Medicaid Community Waivers in Oklahoma
"A waiver is a funding mechanism which allows the state to offer community-based services as an alternative to institutional services. The term waiver specifically refers to two elements of home and community-based services:
First, the state applies to the Center for Medicare and Medicaid Services for a special waiver or a special allowance from the services typically included in the State Medicaid Plan. This waiver allows the state to use Medicaid funds to provide alternative community supports for a targeted population who is at risk for institutionalization.
Second, the individuals served waive the institutional services for which they are eligible in order to receive community-based supports.
The Oklahoma Department of Human Services (OKDHS), Developmental Disabilities Services Division (DDSD) currently operates four waiver programs.
"
*source: Oklahoma Department of Human Services
, Oklahoma City, OK 73125
for more information, see:
More resources about Oklahoma Medicaid Waiver Programs:
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OH: Oklahoma Medicaid: The Medicaid Project, Eligibility, Oklahoma Medicaid Rules, Application