Frequently Asked Questions for Members or Applicants

Each Member has a service plan individually tailored for the Member's specific needs, so every plan is different. However, some services that may be included on the plan are:

• Case management
• Personal care
• Skilled nursing
• Prescription drug assistance
• Adult day health care
• Home-delivered meals
• Home modification
• Hospice
• Occupational therapy
• Physical therapy
• Speech therapy
• Specialized equipment and supplies
• Supported restorative assistance

There are also two service options available to some ADvantage Members:

• Assisted Living
• Consumer directed personal assistance services & supports (CD-PASS)

Who is eligible to receive ADvantage services?

To receive ADvantage Program services, individuals must meet the following criteria:

• Meet nursing facility level of care criteria
• Be age 65 or older OR
  Be age 19 or older with a physical disability OR
  Be age 19 to 65 with a developmental disability without having an intellectual disability or cognitive impairment related to the developmental disability.
• Meet Medicaid financial eligibility requirements.

You can apply for services by calling 1-800-435-4711 and completing a 10-15 minute phone interview. You may also apply by contacting your local OKDHS county office.

In order to complete the phone interview, you will need to provide the AAU with as much of the following information as possible.

• Personal information, including legal name, physical and mailing addresses (including driving directions), telephone number, date of birth, social security number, Medicare and Medicaid numbers (if applicable), marital status, gender, race, ethnic background, primary language, citizenship or legal residency status, country of origin (if applicable), and veteran status.
• Financial information, including source of all monthly income, amount of welfare and SNAP (if applicable), list of all assets, and any property transactions completed within the last five years.
• Medical information, including list of difficulties and/or medical diagnosis from doctor, primary care physician's name and contact information, names of emergency contact, next of kin, power of attorney, legal guardian, and contact information for each.

For a more comprehensive list, view the Intake and Referral Information Checklist.

Your county OKDHS office will receive the completed application and will contact you for additional information as needed to determine financial eligibility. An OKDHS long term care nurse will also contact you to set up an appointment to come to your home and complete a physical assessment to determine medical eligibility. Contact is usually 10-14 days after they receive your information. You can check on the status of your application by calling the AAU at 1-800-435-4711, or contacting your local OKDHS county office.

The county office will complete the application and begin the process of determining financial and medical eligibility. You will be advised if additional information is required.