Oklahoma Administrative Code
Title 340 - Department of Human Services
Chapter 65 - Public Assistance Procedures
Subchapter 5 - Procedures Relating to Case Changes
Part 1 - GENERAL PROVISIONS
Section 340:65-5-3 - Benefit suspension and resolution
Universal Citation: OK Admin Code 340:65-5-3
Current through Vol. 42, No. 1, September 16, 2024
(a) State Supplemental Payment (SSP) and SoonerCare (Medicaid) benefits may be suspended when the Social Security Administration (SSA) suspends the recipient's Supplemental Security Income (SSI) until the SSI benefit is reinstated or closed.
(b) Sooner Care (Medicaid) may be suspended when:
(1)
SSA suspends the recipient's SSI until the SSI benefit is reinstated or
closed;
(2) the recipient is
incarcerated, for the duration of the incarceration period, per Oklahoma
Administrative Code (OAC) 317:35-6-45; or
(3) the Oklahoma Health Care Authority
initiates an administrative sanction until the sanction is removed, per OAC
317:35-13-7;
or
(4) Form 08TA018E, Continued
Medical Benefit Reply Form, is not received timely for households who are
eligible for a continued medical benefit (CMB) following a Temporary Assistance
for Needy Families benefit closure due to earnings. When the worker does not
reinstate CMB by the suspension month's advance notice deadline, per OKDHS
Appendix B-2, Deadlines for Case Actions, CMB automatically closes effective
the next month, per OAC
340:10-3-75.
(c) Following suspension, when the recipient is determined:
(1) eligible, the worker
reinstates the benefit effective the month the benefit was suspended;
(2) eligible for the month following the
suspension month, the worker recertifies the benefit effective the next month;
or
(3) ineligible for the benefit,
the worker closes the benefit effective the next month.
Amended at 10 Ok Reg 4465, eff 8-5-93 (emergency); Amended at 11 Ok Reg 1687, eff 5-12-94; Amended at 18 Ok Reg 2096, eff 7-1-01; Amended at 26 Ok Reg 1272, eff 6-1-09; Amended at 28 Ok Reg 880, eff 6-1-11
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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