Opportunities for Living Life

Opportunities for Living Life (OLL) is charged with developing, operating and administering new program initiatives for SoonerCare. Additionally, OLL is charged with developing collaboration among state and private agencies, community organizations, and stakeholders in creating a system of health care, long-term care support and home and community-based services support that meets the needs of every Oklahoma citizen.

Opportunities for Living Life offers Long Term Care services and support benefits to certain members who are enrolled in SoonerCare Traditional or SoonerCare Supplemental plans.

• OLL Newsletters

If you would like more information on OHCA's Opportunities for Living Life program, please call (405) 522-7078 or email OLL@okhca.org.

Waiver Administration and Development

• Medically Fragile - The Medically Fragile program is a home and community-based alternative to placement in a hospital and/or skilled nursing unit of a nursing facility to receive Medicaid-funded assistance for care.
• Oklahoma Living Choice Project/Money Follows the Person  – The Oklahoma Living Choice Project promotes community living for people of all ages who have disabilities or long-term illnesses. The project gives Oklahomans more options for managing their health care needs and adding more balance to the state’s long-term care system. www.oklivingchoice.com
• Home and Community-Based Services – SoonerCare operates five programs to provide home and community care as a cost-effective alternative to institutionalization. These are known as "waiver" programs because standard program requirements are waived to allow the program to operate. The waiver programs provide some services that otherwise are not covered under SoonerCare.

Long-Term Care Quality Initiatives

• Oklahoma Long-Term Care Partnership - A program with benefit options that may protect the consumer’s financial future.
• Focus on Excellence – A program established as an incentive-based rate plan for nursing facilities designed to measure improvements in the quality of life, care and services.
• Program of All-Inclusive Care for the Elderly (PACE) - A unique, capitated, one-stop, home and community based program that provides an array of necessary medical and social services for the frail and elderly within the home or at the Cherokee Elder Care Center in Tahlequah.

• Certified Nurse Aide Training Program – A partnership with OSU-OKC to train individuals who qualify to become a Certified Nurse Aide.
• Nursing Facility Services – An inpatient benefit providing 24-hour nursing care.
• Intermediate Care Facility Services for the Mentally Retarded – An inpatient benefit providing 24-hour care and active treatment.

Level of Care Evaluation

• TEFRA – An in-home benefit for children with physical or mental disabilities as an alternative to institutional care.
• PASRR – A process designed to ensure that people applying to reside living in nursing facilities who are also affected by mental illness and/or developmental disability receive federally required evaluations.
• Disability/Incapacity Determination - Determines and serves disability and incapacity for the citizens and immigrants of Oklahoma who will be substantially unable to perform their normal daily functions for 30 days or more due to a physical or mental incapacity.

Eligibility

There are income and asset limits to eligibility for long-term care services. OLL pays for care for those with middle incomes only after they have exhausted their own financial resources. You may visit or call your local county office of the Oklahoma Department of Human Services to apply. See also Applying for Long-Term Care.