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Community Engagement Requirements

Due to HB 2932 that was signed into law in May 2018, the Oklahoma Health Care Authority is submitting an application to the federal government that may result in the implementation of community engagement requirements for certain SoonerCare members in 2019.

If the federal government approves these changes to Oklahoma Medicaid eligibility requirements, those who qualify for SoonerCare as parents or caretakers and are between ages 19 and 50 may have to work, volunteer or go to school at least part time to maintain their SoonerCare eligibility.

The eligibility guidelines of children WILL NOT BE affected with these changes.

Who else will not be affected?

SoonerCare members who:

  • Are pregnant
  • Recently had a baby
  • Have a child younger than 6 years old
  • Are disabled
  • Are certified unable to work
  • In substance abuse treatment
  • Are currently in compliance with SNAP and TANF work requirements

Based on the feedback received at meetings the OHCA held around the state, the following members may also be exempted from these changes:

  • Native Americans and Alaska Natives
  • Foster care parents and members who were formerly in foster care (up to age 26)
  • SoonerCare members on our family planning program or on our breast and cervical cancer programs

 

Updates

January 22, 2019

The federal public comment period is closed as of January 19, 2019.

December 20, 2018

The federal public comment period will be open from December 20, 2018 to January 18, 2019.Click here to view submitted public comments.

December 7, 2018

The Oklahoma Health Care Authority (OHCA) submitted the waiver amendment on Friday, Dec. 7, 2018.

October 1, 2018

As of October 1, the Oklahoma Health Care Authority (OHCA) is preparing the amendment to submit to the Centers for Medicare & Medicaid Services (CMS).

 

View background information and history on the process to develop Community Engagements requirements.