SECTION 317:35-23-3. Participant disenrollment  


Latest version.
  • (a)   A member is disenrolled from the program if he/she:
    (1)   is admitted to a hospital, nursing facility, ICF/IID, residential care facility or behavioral health facility for more than thirty (30) consecutive days;
    (2)   is incarcerated;
    (3)   is determined to no longer meet SoonerCare financial eligibility for home and community based services;
    (4)   determined by the Social Security Administration or OHCA Level of Care Evaluation Unit to no longer have a disability that qualifies for services under the Living Choice program; or
    (5)   moves out of state.
    (b)   Payment cannot be made for an individual who is in imminent danger of harm to self or others.
[Source: Added at 26 Ok Reg 266, eff 12-1-08 (emergency); Added at 26 Ok Reg 1076, eff 5-11-09; Amended at 29 Ok Reg 1193, eff 6-25-12; Amended at 35 Ok Reg 10, eff 8-10-17 (emergency); Amended at 35 Ok Reg 1500, eff 9-14-18]