APA WF # 25-02 A&B ADvantage Waiver Revisions

The proposed policy changes are being promulgated as Permanent Rules.

The Oklahoma Health Care Authority (OHCA) proposes revisions to the ADvantage Waiver policy to align with the waiver amendments approved on October 16, 2024, with a retroactive effective date of October 1, 2023. Key changes include lowering the minimum age for program eligibility from twenty-one (21) to nineteen (19) years, clarifying procedures for obtaining member or representative signatures for home-delivered meals, and removing redundant expanded criteria language now addressed under the Level of Care medical eligibility determination section. Additional revisions reformat policy for clarity, remove outdated language, and improve consistency in describing ADvantage program capacity.

Please view the APA WF 25-02A draft regulatory text here and the APA WF 25-02B draft regulatory text here and submit feedback via the comment box.

 Pursuant to 75 O.S. §303(D), a rule impact statement will be posted here beginning December 30, 2025. Individuals may also request a copy using the comment box, and the statement will be provided on December 30, 2025.

Proposed Policy Timeline

Circulation Date: 12/15/2025

Medical Advisory Committee: 1/8/2026

Comment Due Date: 1/15/2026

Public Hearing: 1/15/2026

Board Meeting: 1/21/2026

After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.