Qualifications for Medicaid in Oklahoma

Applicants who meet Oklahoma Medicaid eligibility requirements may be eligible to receive Oklahoma’s Medicaid services, or SoonerCare. However, OK Medicaid benefits eligibility depends on several important factors. Of these Medicaid requirements, meeting income and asset restrictions, as well as providing proofs of identity and residency are necessary to receive full medical care benefits.

Applicants who meet requirements for Medicaid will receive free medical services including doctor visits, prescription medications and hospitalizations. Additional Medicaid benefits include ambulance transportation, chemotherapy and radiation therapy, home health services and more. However, patients who meet Medicaid eligibility requirements may be responsible for some co-payments.

What are the Medicaid application guidelines for SoonerCare eligibility?Information on how to qualify for Medicaid in Oklahoma is outlined in more detail through the below topics:

  • Who is eligible for Medicaid in Oklahoma?

  • What are the requirements for Medicaid in Oklahoma?

  • What are the income requirements for Medicaid in Oklahoma?

  • How to qualify for Medicaid in Oklahoma

Who is eligible for Medicaid in Oklahoma?

The first step in determining how to qualify for Medicaid in Oklahoma is decided through patient groups. Medicaid eligibility groups are categorized in an effort to divide benefits that do not apply to everyone. Those eligible for Medicaid in Oklahoma are qualified to receive free or low-cost health coverage provided by the state’s SoonerCare program.

What are the Medicaid application guidelines for patient eligibility?

Applicants who typically fall under the Medicaid eligibility requirements include: pregnant women, children under 19, applicants over 65, disabled applicants, adults with children under 19 and women under 65 who need cervical or breast cancer treatment. Men and women over 19 who meet Medicaid eligibility requirements may be eligible for SoonerPlan, which assists men and women with family-planning services.

What are the requirements for Medicaid in Oklahoma?

Candidates eligible for Medicaid who belong to designated patient groups can then move on to satisfying other Medicaid requirements. There are general requirements for Medicaid that not only apply to Oklahoma, but to all U.S. states. General Medicaid qualifications require candidates to provide proofs of citizenship, residency and identity.

To receive Medicaid benefits in Oklahoma, applicants must be able to provide one-time proof of U.S. citizenship. Candidates meet citizenship requirements for Medicaid by showing their U.S. passports, certificates of naturalization, certifications of citizenship, U.S. birth certificates or driver’s licenses and state IDs. Applicants who receive Medicare benefits or who have previously received Supplemental Security Income (SSI) do not need to provide proof of identity of citizenship. Caretakers of newborns seeking Medicaid eligibility do not need to show proof of citizenship or identity until the baby is 1 year old. Additionally, children in foster care who meet Medicaid benefits eligibility do not need to provide proof of identity.

To qualify for Medicaid, applicants should bring original, supporting documents into a local Oklahoma Department of Human Services office and copies of each document will be made. Original documents will not be accepted through the mail.

What are the income requirements for Medicaid in Oklahoma?

To find out how to qualify for Medicaid in Oklahoma financially, specific income restrictions must first be met. Medicaid income requirements vary depending on the applicant’s specific situation. For example, pregnant women who meet Oklahoma Medicaid benefits eligibility have different income restrictions than low-income families or adults caring for a child relative. However, candidates are encouraged to apply for Oklahoma Medicaid even if their incomes are higher than required.

Children who meet other Medicaid eligibility requirements must live in households that earn less than the following monthly and annually:

  • Households of 1 must earn less than $2,079 monthly or $24,948 annually

  • Households of 2 must earn less than $2,804 monthly or $33,648 annually

  • Households of 3 must earn less than $3,528 monthly or $42,336 annually

  • Households of 4 must earn less than $4,253 monthly or $51,036 annually

  • Households of 5 must earn less than $4,977 monthly or $59,724 annually

  • Households of 6 must earn less than $5,702 monthly or $68,424 annually

  • Households of 7 must earn less than $6,428 monthly or $77,136 annually

  • Households of 8 must earn less than $7,157 monthly or $85,884 annually

Pregnant women who meet Medicaid eligibility requirements must live in households that earn less than the following totals monthly and annually:

  • Households of 1 must earn less than $1,317 monthly or $15,804 annually

  • Households of 2 must earn less than $1,776 monthly or $21,312 annually

  • Households of 3 must earn less than $2,234 monthly or $26,808 annually

  • Households of 4 must earn less than $2,693 monthly or $32,316 annually

  • Households of 5 must earn less than $3,152 monthly or $37,824 annually

  • Households of 6 must earn less than $3,611 monthly or $43,332 annually

  • Households of 7 must earn less than $4,071 monthly or $48,852 annually

  • Households of 8 must earn less than $4,533 monthly or $54,396 annually

How to Qualify for Medicaid in Oklahoma

To find out how to qualify for Medicaid in Oklahoma, several pieces of information much be readily available before beginning the application process. All applicants should gather the following information before applying for Oklahoma Medicaid:

  • Taxable income totals for both the applicant and the applicant’s spouse

  • Social Security Numbers and birthdates of all household members

  • Current or most recent health insurance information

  • Identity and citizenship or alien registration information

  • Income information and employer information for all working members of the household

  • The total amount of money received from other means of income

  • Pregnancy information and the expected date of delivery for expectant families

  • The names, addresses, phone numbers and Social Security Numbers of each absent parent in regard to caretakers

Once the above is compiled, candidates should proceed with officially qualifying for Medicaid so they can apply for benefits as soon as possible.



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