In Oklahoma, the Medicaid program is termed SoonerCare. It provides eligible, low-income individuals with free and low-cost medically necessary health care services. Benefits of SoonerCare may include:
- Inpatient and outpatient hospital services
- SoonerRide transportation services to medical appointments
- Limited denture and dental services
Along with being an Oklahoma resident and U.S. citizen, there are certain financial criteria that Edmond seniors who are aged 65 and older, blind or disabled must meet to qualify. Asset and income limits vary depending on whether applicants are single or applying together as a married couple. For income, the maximum monthly limits are $1,041 for an individual and $1,409 for a married couple. Countable assets, which do not include items such as an applicant’s primary vehicle, home or furnishings, must be no more than $2,000 for an individual and $3,000 for a married couple. Certain seniors and people with disabilities who require a nursing home level of care may also wish to receive long-term care services through Medicaid. These applicants must meet a separate set of financial criteria:
- Monthly income should total less than $2,314 for an individual and $4,627 for a married couple.
- Countable assets should be a maximum of $2,000 for an individual and $4,000 for a married couple (for couples where only one spouse applies, the non-applicant may keep assets of up to $126,420).
Of those who qualify for long-term Medicaid, individuals living or wishing to live in a nursing home are entitled to receive care services. Seniors who would like to receive services in an assisted living home, however, must apply through the following waiver. Those accepted into the waiver program may be placed on a wait list before receiving care.
ADvantage Medicaid Waiver The
ADvantage Medicaid waiver serves eligible seniors and people with disabilities who would like to live outside of a nursing home. Services provided to participants in assisted living homes includes:
- Skilled nursing care as needed
- Recreational and social activities
- Assistance with everyday household chores
- A case manager who develops an individualized service plan for participants
To qualify for the ADvantage waiver, Edmond seniors must be financially and medically eligible as determined by a DHS social worker and nurse. As the waiver does not pay for room and board, participants must pay a rate up to 90% of the Supplemental Security Income benefit rate. Edmond seniors may apply to be an ADvantage participant by calling the ADvantage Administration (800) 435-4711 or contacting the
Oklahoma County Department of Human Services at (405) 271-3325. Seniors who want to apply for SoonerCare should complete the
online application.