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Oklahoma’s ADvantage Program Waiver: Qualifications and Services

What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes.  For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost.  These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
 
  Overview of Oklahoma’s ADvantage Program Waiver
This Oklahoma Medicaid waiver is designed to help frail elders remain living in their homes instead of in a nursing home environment by providing a variety of long term care services.  Participants in the program have the option to let the state manage the care services they receive or self-directing their own care. 

Self-direction, also referred to as participant direction or Cash and Counseling, is through the associated program; Consumer-Directed Personal Assistance Services & Supports (CD-PASS).  Under the CD-PASS program, participants are free to choose their own personal care providers.  Family members, with some exceptions, are eligible to be hired and paid to provide personal care services to the participant.  Readers should be aware the CD-PASS option is being rolled out by county and might not yet be available statewide.
  Qualifications for the ADvantage Program Waiver
In addition to being 65 and requiring nursing home level care, Oklahoma residents must be financially qualified to receive Medicaid and live either at home or in the home of a family member.

Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years.  Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.  

Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health.  For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program.  With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner.  Find assistance applying for Medicaid.
  Services Provided under the ADvantage Program Waiver
    • Adult Day Health Care
    • Case Management
    • Consumer Directed Personal Assistance Services & Supports
    • Home-Delivered Meals
    • Home Modification
    • Hospice
    • Occupational Therapy
    • Personal Care
    • Physical Therapy
    • Prescription Drugs
    • Specialized Equipment and Supplies
    • Speech Therapy
    • Supported Restorative Assistance
        Availability of the ADvantage Program Waiver
      This program is available statewide in all Oklahoma counties.



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