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Service Information

The Medically Fragile Waiver program is a home and community-based alternative to placement in a hospital and/or skilled nursing unit of a nursing facility to receive Medicaid-funded assistance for care. This program allows Medicaid eligible persons who meet institutional level of care requirements to remain at home or in the residential setting of their choosing while receiving the necessary care. 

Services may include:

  • Advanced supportive/restorative assistance
  • Case Management
  • Environmental modifications
  • Home-delivered meals
  • Hospice care
  • Institutional Transition Case Management
  • Personal Care
  • Prescription drugs
  • Personal emergency response system (PERS)
  • Respite
  • Skilled nursing
  • Private duty nursing
  • Self-directed Goods and Services
  • Specialized Medical Equipment and Supplies
  • Therapy Services (Occupational, Physical, Respiratory or Speech)
  • Transitional Case Management

To be eligible, the following requirements must be met: 

  • Be at least 19 years of age.
  • Meet hospital and/or skilled nursing level of care.
  • Meet SoonerCare financial eligibility.
  • Must be living at home or a residential setting.

Click to complete an online application for in home assistance.

If you are unable to complete the online application, you may call the Medicaid Services Unit at 1-800-435-4711 to complete a telephone application. If you have questions about the Medically Fragile Waiver Program, please email CAP.MedicallyFragileWaiver.    

Contact Information

Phone Numbers:
(918) 933-4900
(800) 435-4711

Mailing Address:
PO Box 25352
Oklahoma City, OK 73125-9975

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:

  • Advanced supportive/restorative assistance
  • Case Management
  • Environmental modifications
  • Home-delivered meals
  • Hospice care
  • Institutional Transition Case Management
  • Personal Care
  • Prescription drugs
  • Personal emergency response system (PERS)
  • Respite care
  • Skilled nursing
  • Private duty nursing
  • Self-directed Goods and Services
  • Specialized Medical Equipment and Supplies
  • Therapy Services (Occupational, Physical, Respiratory or Speech)
  • Transitional Case Management

Who is eligible to receive Medically Fragile Waiver services?

To receive Medically Fragile Waiver program services, individuals must meet the following criteria:

  • Be at least 19 years of age;
  • Meet hospital and/or skilled nursing level of care;
  • Meet SoonerCare financial eligibility;
  • Must be living at home or a residential setting.

You can apply for services online,
Or by calling 1-800-435-4711 to complete a 10-15 minute application via phone. 

In order to complete the application, you will need to provide 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

An OKDHS representative with the Medically Fragile Waiver program will contact the applicant via phone to confirm receipt of the application and discuss next steps.  The status of the application may be checked by calling 1-800-435-4711