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To learn about SoonerCare's citizenship requirements, view our eligibility guidelines. Para obtener más información sobre los requisitos de ciudadanía de SoonerCare, consulte nuestras pautas de elegibilidad. 

SUBCHAPTER 17 - Advantage Waiver Services

Section 1Overview of long-term medical care services; relationship to Qualified Medicare Beneficiary Plus (QMBP), Specified Low-Income Medicare Beneficiary (SLMB), and other Medicaid (SoonerCare) services eligibility
Section 2Level of care medical eligibility determination
Section 3ADvantage program services
Section 4Application for ADvantage services
Section 5ADvantage program medical eligibility determination
Section 6Pre-admission screening [REVOKED]
Section 7PASRR screening process [REVOKED]
Section 8.1PASRR appeals process [REVOKED]
Section 9General financial eligibility requirements for the ADvantage program
Section 10Determining financial eligibility/categorical relationship for the ADvantage program
Section 11Determining financial eligibility for ADvantage program services
Section 12Certification for ADvantage program services
Section 13Certification for ADvantage program services [REVOKED]
Section 14Case management services
Section 15Redetermination of eligibility for ADvantage services
Section 16Member annual level of care re-evaluation and annual service plan reauthorization
Section 17Supplemental process for expedited eligibility determination (SPEED)
Section 18ADvantage services during hospitalization or NF placement
Section 19Closure or termination of ADvantage services
Section 20Case transfer between categories [REVOKED]
Section 21Case changes
Section 21.1ADvantage and agency Personal Care provider certification
Section 22Billing procedures for ADvantage services
Section 23Disclosure of information on health care providers and contractors
Section 24Referral for social services
Section 25Address Confidentiality Program
Section 26Ethics of Care Committee
Section 27Incident reporting

 

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.