Nursing Facility Care - What you need to know
Income and Resources
The nursing home applicant’s income must be less than the income showing on Appendix C-1, Schedule VIII.B.
If the nursing facility applicant's income is more than the standard on Schedule VIII.B but less than $3,000, he/she can establish a Medicaid Income Pension Trust to become income eligible.
Resources of the applicant must be $2,000 or less.
More questions?
Contact your local OKDHS Human Service Center.
Home Property Rules
If the nursing facility applicant plans to return home in less than 12 months, the home property remains an exempt resource.
If the nursing facility applicant does not plan to return to home, or after 12 months of nursing facility care, the Oklahoma Health Care Authority will file a lien on the home property unless there is a spouse, minor child or disabled child living in the home.
More questions?
Contact your local OKDHS Human Service Center.
Spouse
If the nursing facility applicant has a spouse in the home, the nursing facility applicant is allowed to give some of his/her money to the spouse in the home as long as the spouse’s income is less than the maximum monthly income standard showing on Appendix C-1, Schedule XI.
The spouse in the home is allowed to keep up to one-half of the combined resources of the couple up to the maximum resource standard showing on Appendix C-1, , Schedule XI.
The nursing facility applicant must spend his/her half of the resources down to the $2,000 resource limit.
More questions?
Contact your local OKDHS Human Service Center.
Transfer of Assets
If the nursing facility applicant has transferred any assets to others within the five years prior to application for SoonerCare (Medicaid) and did not receive fair market value for the assets, the person could be ineligible for nursing facility care for a period of time.
Therefore part of the eligibility process includes determining if, within the previous five years, the applicant gave away money or property or added someone’s name to his/her property.
More questions?
Contact your local OKDHS Human Service Center.
