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Library: Policy

340:75-13-74. Medical identification cards

1 

Revised 6-1-12

       A child in Oklahoma Department of Human Services (OKDHS) or tribal custody in out-of-home placement receiving Medicaid is issued a medical identification card.  • 1

INSTRUCTIONS TO STAFF 340:75-13-74

Revised 9-15-20

1.(a) Medical identification card.

(1) The initial medical identification card for the child in Oklahoma Human Services (OKDHS) or tribal custody is scanned to the KK case when the custody specialist certifies the SoonerCare (Medicaid) case.

(2) When the child is in tribal custody, the assigned custody specialist retains the SoonerCare (Medicaid)case.

(3) A medical identification card is issued when:

(A) a child in OKDHS or tribal custody is in out-of-home placement;

(B) a child in OKDHS or tribal custody is placed in Oklahoma;

(C) youth 18, 19, or 20 years of age:

(i) were in OKDHS or tribal custody at the time the youth turned 18 years of age; and

(ii) remain in OKDHS or tribal foster care or other living situation for which OKDHS assumes full or partial financial responsibility;

(D) a non-Title IV-E eligible child in OKDHS custody is placed out-of-state through the Interstate Compact on the Placement of Children, and the receiving state does not provide medical assistance to other states' non-Title IV-E eligible children;

(E) a child in OKDHS or tribal custody is living in the home of a parent and child's family information qualifies the child for medical assistance.The child welfare (CW) specialist encourages the family to apply for medical assistance online with SoonerCare (Medicaid);

(F) a child residing in Oklahoma qualifies for Oklahoma adoption pre-finalization adoption assistance or Oklahoma adoption assistance;

(G) a non-Title IV-E eligible child receiving Oklahoma adoption assistance resides in another state and the receiving state does not provide medical assistance for the child;

(H) a child is not in OKDHS or tribal custody and the child's family information qualifies the child for medical assistance as determined by the Oklahoma Health Care Authority.The CW specialist encourages the family to apply for medical assistance; and

(I) youth 18, 19, or 20 years of age:

(i) were in OKDHS out-of-home care and custody on his or her 18th birthday;

(ii) have left OKDHS or tribal care; and

(iii) meet the state's medical assistance Medicaid eligibility criteria.

(4) A medical card is not issued to a child when the child:

(A) resides in the home of a parent, regardless of custody status, and the family income information exceeds eligibility standards for medical assistance;

(B) is in OKDHS or tribal custody, resides out-of-state, and receives medical assistance in the child's state of residence; and

(C) receives Oklahoma adoption assistance, resides out-of-state, and receives medical assistance in the child's state of residence.

(5) The medical identification number remains assigned to the child throughout the child's stay in OKDHS or tribal custody and the card is given to each placement provider when the child's placement changes.

(6) The medical identification card is delivered to the child's primary CW specialist who sends the card to the child's placement provider.

(b) Replacement medical identification card. Lost medical identification cards are replaced on an individual basis at the request of the CW specialist.Check the KK File Cabinet and email the custody specialist for a new copy when a scanned copy is not in the File Cabinet.

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