Help Center. Privacy and Terms of Use. Video Guides. Oklahoma Medicaid. Quick Info. Medicaid provides free or low-cost health coverage to eligible needy persons. Program Contact Managing Agency U. Department of Health and Human Services. Check if you may be eligible for this benefit. Expand Quick Info Section. Healthcare and Medical Assistance. What is Oklahoma Medicaid? Who is eligible for Oklahoma Medicaid?
You must also be one of the following: Pregnant, or Be responsible for a child 18 years of age or younger, or Blind, or Have a disability or a family member in your household with a disability, or Be 65 years of age or older.
Select Household Size 1 2 3 4 5 6 7 8. How do I apply for Oklahoma Medicaid? For more information, see the Program Contact Information below. OK Medicaid Application Instructions. How can I contact someone? For more information on Oklahoma Medicaid, please visit: Health Related and Medical Services Your local Department of Human Services office can also answer your questions on Medicaid and provide instructions on how to apply.
Receive an email when this benefit page is updated:. Other Benefits People Viewed. Oklahoma Children's Health Insurance Program. Medicaid Program. Answer these questions to see if you may be eligible for this benefit. Year Select Year Citizen U. Those benefits may include long-term care facility services, intermediate care facility services for the mentally retarded ICFMR , in-home personal care and other home and community-based supportive services that would give SoonerCare members an alternative to entering a long-term care facility.
It extends benefits to home-based children who meet an institutional level of care. Financial qualifications for TEFRA consider only the child's income, so the parent's income does not create an obstacle to enrollment. For more information, contact the SoonerCare Helpline at Oklahoma Cares provides SoonerCare benefits to women under age 65 who need further diagnostics or treatment for breast or cervical abnormal findings, precancerous conditions or cancer.
Oklahoma Cares members are covered under either the SoonerCare Choice or SoonerCare Traditional benefit package until they no longer require treatment or qualify financially. Women who are interested should ask if their health care provider is a certified screening provider. If not, they can find a screening provider in their area by contacting the Oklahoma State Department of Health at SoonerPlan offers limited benefits for family planning services.
SoonerPlan provides lab tests and office visits, contraceptive products, pregnancy tests, tubal ligations and vasectomies to women and men age 18 or older who do not usually qualify for full benefits under SoonerCare. Your medical home means you have one providers who sees you when needed and provides for your overall health needs.
This provider continues to treat you as long as you are his or her patient and will coordinate your care with other providers as needed. If you became a member using the online enrollment process, you have already chosen a medical home.
If you applied by any other method you will need to choose a medical home. You must call the SoonerCare Helpline to choose your medical home at Your SoonerCare benefits will be limited if you do not choose a medical home.
You can use the same medical home for your whole family or each family member can choose a different one. Your medical home must be within 45 miles of your home to qualify for SoonerRide.
SoonerRide is free transportation for non-emergency care. For more information on SoonerCare Choice, you can download a SoonerCare Member Handbook which will provide complete enrollment and coverage details. SoonerCare Supplemental is a plan that may help pay for Medicare cost sharing requirements if you meet low income and limited resources requirements. It provides medical benefits to supplement Medicare Part A, Part B, Part D and cost sharing expenses, such as deductibles and co-insurance.
Complete the form and return it to a local DHS office. For more information on eligibility for SoonerCare Supplemental, go here. SoonerCare Traditional is a fee-for-service plan with a statewide network of providers that includes hospitals, family practice doctors, pharmacies and durable medical equipment companies.
Members choose from contracted providers to receive any of these services. All members are initially enrolled in SoonerCare Traditional, however only a small percentage remain in the program. They include:. SoonerCare will not pay for services of a non-SoonerCare provider. SoonerPlan is a family planning program for men and women who are not enrolled in other regular SoonerCare programs.
Services are available from any contracted SoonerCare provider who offers family planning. SoonerPlan pays for family planning services birth control , including:. These services will be paid for as long as you are seeking a birth control method. If you are approved, you may be eligible for SoonerPlan for up to 12 months. The two names are interchangeable.
For all questions about SoonerCare, call the Oklahoma Medicaid phone number at , Monday through Friday, 8 am to 5 pm. There is no hour hotline.
If you have a medical emergency, you should call your medical home provider. The term dual eligible means that people are covered by both Medicare and Medicaid at the same time.
To see if you qualify for any of these programs, contact a SoonerCare office. All rights reserved. Powered by Medicare Health Benefits.
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