Library: Policy

317:30-3-41. Home and Community Based Services Waivers for persons with physical disabilities

Revised 1-12-24

(a) ADvantage Waiver.  The ADvantage Waiver Program is a Medicaid Home and Community Based Services (HCBS) Waiver used to finance non-institutional long-term care services through Oklahoma's SoonerCare program for elderly and disabled individuals in specific waiver areas.  To receive ADvantage Program services, individuals must meet the nursing facility level of care criteria, be age sixty-five (65) years or older, or age nineteen (19) or older if disabled. ADvantage Program members must be SoonerCare eligible and reside in the designated service area.  The number of members in the ADvantage Waiver is limited.

(b) Medically Fragile Waiver.  The Medically Fragile Waiver Program is a Medicaid Home and Community Based Services (HCBS) Waiver used to finance non-institutional long-term care services through Oklahoma's SoonerCare program for medically fragile individuals. To receive Medically Fragile Program services, individuals must be at least 19 years of age, be SoonerCare eligible, and meet the Oklahoma Health Care Authority (OHCA) skilled nursing facility (SNF) or hospital level of care (LOC) criteria.  Eligibility does not guarantee placement in the program as Waiver membership is limited.