Oklahoma Personal Care Program (Medicaid State Plan)

Page Reviewed / Updated - Mar. 2014

Waiver Description

This program provides disabled and elderly residents with the funds to retain a personal care assistant to help them manage their activities of daily living. This is a Medicaid program that is also referred to by the name of State Plan Personal Care. The program is based on the Medicaid Cash and Counseling model in which the consumer is empowered to self-direct their personal care by choosing whom is hired. Personal Care Program participants are able to select home care agencies, neighbors, friends and even some non-immediate family members to provide them with personal care. To clarify, under this program certain family members are eligible to be paid caregivers; spouses and legal guardians are not eligible.

Oklahoma Medicaid, also called SoonerCare, offers a similar program with Consumer Direction that covers a broader range of services called the ADvantage Waiver.

 

Eligibility Guidelines

There are health and financial requirements to be eligible for the Personal Care Program. Applicants must require assistance to complete their activities of daily living. However, their disabilities cannot be so severe that they require skilled nursing level assistance or the level of care provided in an Intermediate Care Facility. Financially, applicants must qualify for Medicaid.

Oklahoma Medicaid 2014 Income Limit for Seniors
Individual applicants for the Personal Care Program are limited to a monthly income of no greater than $2,163 or annually $25,956.  However, there is some flexibility to this limit if they are married and their spouse is not applying for Medicaid. Under these circumstances, joint income can be allocated to the spouse who is not applying to provide a living stipend.  This can help to lower applicant's income to Medicaid compliant level.

Oklahoma Medicaid 2014 Assets Limit for Seniors
Single applicants are limited to $2,000 worth of countable assets. In the split-spouse situation described above, the non-applicant spouse is allowed up to $117,240 in countable assets. There is also some flexibility with this limit as many items are considered exempt. For example, the family home provided it is lived in by at least one spouse and valued at under $543,000 is considered exempt. Their vehicle, provided is a utility vehicle as opposed to a collector's car or an investment is also exempt.

There are various other assets which can be considered exempt. Persons over the income or asset limits who cannot afford their cost of care should consider working with a Medicaid planning expert who can assist them in converting their finances so that they become Medicaid compliant. Learn more.

 

Benefits and Services

The Personal Care Program will pay for a personal assistant to help individuals with their activities of daily living such as bathing, grooming, eating and toileting. In addition, some of the instrumental activities of daily living are considered eligible. These include assistance with meal preparation, laundry, housekeeping and shopping for groceries and other essentials.

 

How to Apply / Learn More

The program is managed at the county level by the Oklahoma Department of Human Services. One can find more information on their webpage or by calling their toll-free number at 1-800-435-4711.