ok-6295: Oklahoma Health Care Authority — Medical Assistance for Adults and Children-Eligibility
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Summary
In compliance with the requirements of HR1, the proposed revisions implement community engagement requirements effective January 1, 2027. Certain populations will be required to demonstrate community engagement as a condition of eligibility. Community engagement may include work, work programs, educational programs, or some combination thereof. Certain populations are excluded or exempted from these requirements, including American Indians/Alaska Natives (AI/ANs), children under age 19, Medicare enrollees, former foster youth under age 26, parents/guardians/caretaker relatives of a child age 13 or younger or of a disabled individual, disabled veterans, medically frail individuals, TANF or SNAP enrollees, inmates, individuals participating in drug or alcohol addiction treatment programs, or pregnant/postpartum women. New applicants must demonstrate community engagement for at least the month immediately preceding their application; existing members must demonstrate for at least one month of their certification period (6 or 12 months, depending on the population category). The agency will first seek to determine compliance from existing data, including the case record and automated data exchange with other agencies, before requesting documentation from members.
The agency’s own summary, as published.
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