Oklahoma Health Care Authority Docket OAC 317:35 Proposed Rule

ok-2478: Oklahoma Health Care Authority — Medical Assistance for Adults and Children-Eligibility

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Summary

The proposed rule revisions shift responsibility for determining Medicaid eligibility for TANF recipients from OKDHS to OHCA. Federal regulations no longer provide for receipt of TANF to be an automatic eligibility trigger, instead requiring TANF recipients to have their income assessed under Modified Adjusted Gross Income (MAGI) rules. Eligibility groups for whom OKDHS determines eligibility (aged, blind, disabled, custody) are not income-based, while OHCA determines eligibility for income-based groups. Enrollment systems have already been updated in compliance with federal regulations.

The agency’s own summary, as published.

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