Page Reviewed / Updated - Apr. 2015
This Oklahoma Medicaid waiver is designed to help frail elders remain living in their homes instead of in a nursing home environment. Seniors participating in the ADvantage Program can access a variety of long term care services, such as personal care and assistance, home modifications for increased safety and access and adult day care.
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 is not yet be available statewide. Current counties can be seen here.
Another option available under ADvantage, is assisted living. Formally called the Assisted Living Service Option (ALSO). ALSO is available to all program participants.
Age, functional ability, income and assets are all qualifying criteria for the ADvantage Program. Age and functional ability are related. Persons 21 and over are eligible if they are designated as disabled by the Social Security Administration. Persons 65 and over do not require full disability; instead they must have a need for the level of care provided in nursing homes.
Financially, the ADvantage Waiver requires that applicants qualify for Oklahoma's Institutional Medicaid. Medicaid in Oklahoma is also referred to as SoonerCare. The SoonerCare income limit for 2015 for a single applicant is $2,199 / month. The countable resources limit is $2,000. If the individual is married and their spouse is not applying for Medicaid, the spouse is allowed to have higher income, ($2,980 / month in 2015) and more assets ($119,220 in 2015).
Persons who do not qualify for Medicaid financially, might be interested in Medicaid planning assistance as these experts can usually help them to re-structure their assets and income so that they qualify. Read more.
The ADvantage Waiver is intended to help the elderly remain living at home, therefore the available benefits are selected with that goal in mind. Waiver participants can be approved to receive any of the following services. Certain unskilled services, most relevantly personal care, are available for self-direction.
The ADvantage Waiver is a SoonerCare program managed by the Oklahoma Department of Human Services. While available throughout Oklahoma, waiting lists may exist. The waiver's CD-PASS option, where family members are eligible to be hired and paid as care givers for their elderly relatives, is currently available in these counties only: Adair, Atoka, Bryan, Canadian, Cleveland, Cherokee, Choctaw, Coal, Creek, Haskell, Hughes, Latimer, Leflore, McCurtain, McIntosh, Muskogee, Okfuskee, Oklahoma, Okmulgee, Osage, Pittsburg, Pontotoc, Pushmataha, Rogers, Seminole, Sequoyah, Tulsa, and Wagoner.