Oklahoma Medicaid Eligibility Requirements

This page provides general guidelines for the Oklahoma Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Oklahoma Health Care Authority. The name of the state program is SoonerCare. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Oklahoma Medicaid office.


Oklahoma Medicaid Overview

Medicaid (SoonerCare) is health care for eligible persons who need help paying their medical bills.


Oklahoma Medicaid Eligibility Requirements - Non Income

The enrollee must be an Oklahoma resident and a U.S. citizen or legal alien who has been in the U.S. at least five years.


Documents Needed For Oklahoma Medicaid Application

  • Proof of identity
  • Proof of income
  • Proof of pregnancy if you are pregnant
  • Proof of deductions and expenses
  • Proof you live in Oklahoma
  • Proof of citizenship/immigration status

Oklahoma Medicaid Benefits

It covers family planning, home health inpatient, laboratory and x-ray nurse-midwife, nursing facility outpatient, physician, ambulatory surgical center, hearing, durable medical equipment, prescription drugs, prosthetics, mental health, rehabilitative services, transportation services, dental and vision for some people, and more.


Oklahoma Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Oklahoma Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 205%
Age 1-5: 205%
Age 6-18: 205%
 N/A Medicaid: 133%
CHIP: N/A		 42% N/A

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,994
Age 1-5: $1,994
Age 6-18: $1,994
 N/A Medicaid: N/A
CHIP: N/A		 $408 N/A

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,687
Age 1-5: $2,687
Age 6-18: $2,687
 N/A Medicaid: $1,743
CHIP: N/A		 $551 N/A

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,381
Age 1-5: $3,381
Age 6-18: $3,381
 N/A Medicaid: $2,193
CHIP: N/A		 $693 N/A

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $4,074
Age 1-5: $4,074
Age 6-18: $4,074
 N/A Medicaid: $2,643
CHIP: N/A		 $835 N/A

Medicaid Eligibility

State Medicaid Office

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