Library: Policy

317:35-17-15. Redetermination of eligibility for ADvantage services

Revised 6-25-12

(a) The worker must complete a redetermination of financial eligibility prior to the end of the certification period.  • 1  A notice is generated only if there is a change which affects the member's financial responsibility.

(b) The ADvantage case manager or the OKDHS nurse must complete an annual UCAT reassessment that is reviewed for redetermination of medical eligibility prior to the end of the certification period.

INSTRUCTIONS TO STAFF

1.All factors of eligibility must be reviewed and documented in FACS case notes.