Long-Term Care Programs

Financial Eligibility Checklist for Long Term Medicaid

Individuals applying for Long-term Care Medicaid must provide documentation verifying any and all income and assets. If married, then all the couple’s resources and assets must be provided regardless of name and ownership.

1. Social Security, Medicare, and health care insurance cards. Proof of citizenship (i.e., birth certificate, naturalization certificate) and copy of photo identification (i.e., driver’s license). Permanent resident card if applicable.

2. Copies of policies and/or documents related to life insurance, burial policies, plots, and/or trust funds, current cash value in life insurance policies owned solely or jointly by the applicant.

3. Proof of income, both gross and net, showing deductions (i.e., civil service pensions, military pensions, company pensions, social security, oil and gas royalties, rent-al property income, interest, and dividend income, etc.). Proof of spousal income for Nursing Home applicants.

4. All current bank statements showing the amount of monies available to the applicant. Current paperwork verifying stocks, bonds, annuities, IRA accounts, certificates of deposit, safety deposit box contents, and mineral rights showing fair market value and income received within the past 12 months.

5. Legal descriptions and copies of deeds for home property, and other owned real estate, which includes mineral rights.

6. Titles to vehicles, boats, motorcycles, recreational vehicles, etc. (One vehicle is exempted)

7. Documentation is showing any transfer of property, money, or assets in last 60 months (5 years) belonging to applicant.

8. Proof of medical expenses such as monthly health insurance premiums, prescription costs, medical supplies, and payments to medical suppliers.

For income and resource standards, please click on the following Appendix C-1.

Please note that this is only a general outline of the information needed. Please always refer to policy on the Oklahoma Human Services website OAC 317 for updates and accurate information. Policy (oklahoma.gov)