Okla. Admin. Code § 317:35-23-3

Current through Vol. 42, No. 8, January 2, 2025

Section 317:35-23-3 - Participant disenrollment

(a) A member is disenrolled from the program if he/she:

(1) is admitted to a hospital, nursing facility, ICF/IID, residential care facility or behavioral health facility for more than thirty (30) consecutive days;

(2) is incarcerated;

(3) is determined to no longer meet SoonerCare financial eligibility for home and community based services;

(4) determined by the Social Security Administration or OHCA Level of Care Evaluation Unit to no longer have a disability that qualifies for services under the Living Choice program; or

(5) moves out of state.

(b) Payment cannot be made for an individual who is in imminent danger of harm to self or others.

Okla. Admin. Code § 317:35-23-3

Added at 26 Ok Reg 266, eff 12-1-08 (emergency); Added at 26 Ok Reg 1076, eff 5-11-09; Amended at 29 Ok Reg 1193, eff 6-25-12

Amended by Oklahoma Register, Volume 35, Issue 24, September 4, 2018, eff. 9/14/2018