SoonerCare Enrollment - Family & Children's Services (2024)

FCS can help you enroll or re-enroll in SoonerCare

SoonerCare Enrollment - Family & Children's Services (1)

SoonerCare Enrollment - Family & Children's Services (2)

Did you know when you enroll in SoonerCare, benefits only last for 12 months?

Check with us to make sure you are still covered.

Complete your annual enrollment with us today. No appointment is necessary. Just walk in!

Sarah and John Graves Center – 2325 S. Harvard
Monday – Friday
8:00 a.m. – 4:30 p.m.

Masks are optional but recommended.

Medicaid is available to ALL legal Oklahoma residents aged 19-64 with income below 138% of the Federal Poverty Level.

If you are uninsured, Family & Children’s Services can help you apply for coverage. If you currently have SoonerCare, we can help you re-apply to stay covered. There are no health questions on the application.If approved for SoonerCare, coverage is active the same day.

  • ADULT ENROLLMENT INFORMATION
  • CHILD ENROLLMENT INFORMATION

ADULT ENROLLMENT INFORMATION

The Benefits

Insurance coverage for uninsured Oklahomans includes:

No monthly premiums

No application fees

No deductibles

Medical & behavioral health coverage.

Pre-existing conditions are covered for future treatment

6 prescriptions per month (two name brand)

Choose your Primary Care Physician* (as long as they accept Medicaid)

Free smoking cessation assistance

Diabetic Supplies

Durable Medical Equipment

Family Planning Services

Hearing Screening

Immunizations

Lab & X-ray services

Mammograms

Up to 4 Physician visits per month

Transportation (via SoonerRide, non-emergency covered medical services)

Physical Therapy, Speech Therapy, Occupational Therapy

Dental examinations, X-Rays, cleanings, fluoride, fillings, dentures and more

Who Qualifies?

  • Are you an Oklahoma resident?
  • Are you a United States citizen or legal resident?
  • Are you between the ages 19-64?
  • Children and pregnant women stay on SoonerCare at higher income levels.

  • For self-employed or independent contractors, income is “net” after business deductions.

  • Unemployed or $0 income adults should qualify, even if they do not have children. No work requirement.

  • Income numbers are estimates. Higher incomes may be accepted, and not all types of income count towards total. If your income is higher, consider applying.

  • If you’ve been denied before, apply again. Other rules and qualifications may apply.

Income must be below those listed:

Size of HouseholdWeekly
Income
Monthly IncomeAnnual
Income
1$ 400$ 1,732$ 20,784
2$ 543$ 2,352$ 28,224
3$ 685$ 2,970$ 35,640
4$ 828$ 3,588$ 43,056
5$ 971$ 4,208$ 50,496
6$ 1,114$ 4,826$ 57,912
7$ 1,257$ 5,445$ 65,340
8$ 1,399$ 6,064$ 72,768

CHILD ENROLLMENT INFORMATION

The Benefits

Insurance coverage for uninsured Oklahomans includes:

No monthly premiums

No application fees

No deductibles

No copays for children

Medical & behavioral health coverage

Pre-existing conditions are covered for future treatment

6 prescriptions per month (two name brand)

Choose your Primary Care Physician* (as long as they accept Medicaid)

Free smoking cessation assistance

Diabetic Supplies

Durable Medical Equipment

Family Planning Services

Hearing Screening

Immunizations

Lab & X-ray services

Mammograms

Up to 4 Physician visits per month

Transportation (via SoonerRide, non-emergency covered medical services)

Physical Therapy, Speech Therapy, Occupational Therapy

Dental examinations, X-Rays, cleanings, fluoride, fillings, dentures and more

Vision

Who Qualifies?

  • Must be an Oklahoma resident.
  • Must be a United States citizen or legal resident.
  • Age groups and income:
    • Children aged 18 and below qualify at higher household income of 200% of the Federal Poverty Level
    • Adults aged 19-64 qualify at a household income of 135% of the Federal Poverty Level

PLEASE NOTE: Children can still qualify even if the parents don’t.

  • Children and pregnant women stay on SoonerCare at higher income levels.

  • For self-employed or independent contractors, income is “net” after business deductions.

  • Unemployed or $0 income adults should qualify, even if they do not have children. No work requirement.

  • Income numbers are estimates. Higher incomes may be accepted, and not all types of income count towards total. If your income is higher, consider applying.

  • If you’ve been denied before, apply again. Other rules and qualifications may apply.

Size of HouseholdWeekly
Income
Monthly IncomeAnnual
Income
1$ 608$ 2,636$ 31,632
2$ 826$ 3,579$ 42,948
3$ 1,043$ 4,520$ 54,240
4$ 1,260$ 5,460$ 65,520
5$ 1,478$ 6,403$ 76,836
6$ 1,695$ 7,344$ 88,128
7$ 1,912$ 8,285$ 99,420
8$ 2,130$ 9,228$ 110,736

Be ready to receive your benefits. Here's how.

Frequently Asked Questions

Question: I meet all of those qualifications! Is there anything else I need to sign up?

Answer: The Oklahoma Health Care Authority might want proof of your United States Citizenship and identity. If you are employed or have another form of income, they will want proof you meet the income guidelines.

Question: What do I need to provide to prove my identity and citizenship?

Answer:

Proof of United States Citizenship and Identity 1) Any one of these three proves BOTH citizenship and identity:

  • United States (U.S.) Passport
  • S. Naturalization Certificate issued by U.S. Citizenship and Immigration Services (USCIS)
  • Certificate of Citizenship issued by USCIS

—OR, if you do not have any of the items listed above—

2) Provide one item from List A and one item from List B:

List A: Proof of U.S. citizenship (show one item) Provide most reliable proof available

— Items at the top of the list are better

  • S. birth certificate (from the official state government agency of your birth state)
  • Certification or report of birth abroad issued by USCIS or the State Department
  • S. citizen ID card issued by USCIS
  • American Indian card issued by USCIS for the Kickapoo tribe
  • Final adoption decree
  • Evidence of Civil Service employment by U.S. Government before 6-1-1976
  • Official military record of service showing U.S. place of birth (Form DD-214)
  • Northern Mariana ID card from USCIS for naturalized citizens born before 11/4/1986
  • Extract of U.S. hospital birth record established at the time of birth, created at least five years before the initial application date
  • Life, health, or other insurance record showing U.S. place of birth, created at least five years before the initial application date
  • Census records showing U.S. place of birth
  • Nursing home records, medical records, or other documents showing U.S. place of birth, created at least five years before the initial application date
  • Bureau of Indian Affairs tribal census records, Navajo and Seneca tribes only
  • If you do not have any of the above items or have a question about the above items, contact the SoonerCare Helpline (800-987-7767)

List B: Proof of identity (show one item)

  • Driver’s license
  • Government-issued ID cards with photo or identifying information (State ID card)
  • Tribal government-issued ID card (CDIB card) or other tribal documents with photo or identifying information
  • S. Military ID, U.S. Military Dependent ID or U.S. Military Draft Record
  • S. Coast Guard Merchant Mariner card
  • School ID with picture

Question: What do I need to provide for my proof of income?

Answer: It depends! Here are some examples of household income statements. Please ask your FCS representative for more help since everyone’s situation can be different!

  • Copy of Taxes
  • Copy of a Month of Paystubs
    • Two if paid biweekly
    • Four if paid weekly
  • Copy of W-2s
  • Copy of retirement benefits

Category:Client ResourcesApril 27, 2021

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SoonerCare Enrollment - Family & Children's Services (2024)

FAQs

What is the income limits for SoonerCare in Oklahoma? ›

SoonerCare and Insure Oklahoma Income Guidelines - 2024
SIZE OF HOUSEHOLDMinimum Monthly IncomeMaximum Monthly Income
1$1,745$2,849
2$2,369$3,869
3$2,992$4,886
4$3,614$5,902
4 more rows

How much money can you have in the bank to qualify for Medicaid in Oklahoma? ›

Oklahoma seniors must have limited income and assets, and a medical need to qualify for Medicaid long-term care. In 2024,a single Nursing Home Medicaid applicant must meet the following criteria: 1) Income under $2,829 / month 2) Assets under $2,000 3) Require a Nursing Home Level of Care.

At what age does SoonerCare stop in Oklahoma? ›

SoonerCare – Children up to age 19, pregnant women, parents/caretaker relatives, newborns deemed eligible, and adults ages 19-64 without active Medicare (expansion population) • Soon to Be Sooners – Pregnancy-related services under Title XXI • Former foster care children • Oklahoma Cares – Breast and Cervical Cancer ...

How long does it take to get approved for SoonerCare in Oklahoma? ›

According to the report, Oklahoma was the only state to process and conduct 100% of applications in less than 24 hours during the first three months of 2022. The Oklahoma Health Care Authority processed nearly 59,000 applications during the reported timeframe.

Does SoonerCare check income? ›

The Oklahoma Health Care Authority uses a specific method to determine the income and household size for someone applying for SoonerCare, Insure Oklahoma or other programs. This method is called Modified Adjusted Gross Income (MAGI).

What is the income limit for food stamps in Oklahoma? ›

Supplemental Nutrition Assistance Program (SNAP)
Household SizeMaximum Income Level (Per Year)
2$23,803
3$29,939
4$36,075
5$42,211
4 more rows

What is the income limit for food stamps in Oklahoma in 2024? ›

SNAP Income Limits—Oct. 1, 2023 through Sept. 30, 2024
Household SizeGross monthly income (130% of poverty)Net monthly income (100% of poverty)
1$1,580$1,215
2$2,137$1,644
3$2,694$2,072
4$3,250$2,500
1 more row

Is SoonerCare the same as Oklahoma Medicaid? ›

WHAT IS SOONERCARE? SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. The Oklahoma Health Care Authority is the state agency that administers the program.

How do I protect my assets from Medicaid in Oklahoma? ›

With a Medicaid trust, you become eligible for Medicaid benefits, and your assets will not be used to meet your nursing home or other long-term care bills. Your property can pass on to your loved ones after your demise. A Medicaid trust is established by creating a correctly worded document and appointing a trustee.

Does SoonerCare pay for everything? ›

SoonerCare will pay for most medical services, but not all. If you do not know if a service is covered by SoonerCare, ask your provider or call the SoonerCare helpline at 800-987-7767.

Is SoonerCare for adults ending? ›

SoonerCare Renewals Are Back

This meant members could continue being covered by SoonerCare during the PHE, even if they no longer qualified. Oklahoma restarted eligibility reviews for all SoonerCare members due to the passage of federal legislation in December 2022. Eligibility renewals resumed in spring 2023.

How long does SoonerCare cover children? ›

​SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability.

How much income is too much for SoonerCare? ›

SoonerCare Income Guidelines for Children (Up to Age 19)
Persons in HouseholdWeeklyYearly
1\$613\$31,632
2\$832\$42,948
3\$1,051\$54,240
4\$1,269\$65,520
4 more rows

Do you have to have a job to get SoonerCare in Oklahoma? ›

Children & pregnant womencan get and stay on SoonerCare at higher income levels than most adults. Unemployed or $0 income Adults may qualify (the extra $300 unemployment does notcount as income). There is no work requirement.

What documents does SoonerCare need? ›

Federal Law Requires Proof of Citizenship and Identity

If you are applying for SoonerCare for the first time, you must provide one-time proof of your U.S. citizenship and identity. This flyer explains how to send in that proof. Newborn children (under age one) of SoonerCare members do not have to show proof.

What is considered high income in Oklahoma? ›

Upper Class Salary in Oklahoma City, OK
Annual SalaryMonthly Pay
Top Earners$77,066$6,422
75th Percentile$60,936$5,078
Average$52,360$4,363
25th Percentile$34,948$2,912

What is SoonerCare for adults? ›

Adult SoonerCare benefits include: • Physician services* • Inpatient and outpatient hospital services. • Emergency transportation services and ambulance. • Non-emergency transportation services (SoonerRide)

What is the difference between Oklahoma Medicaid and SoonerCare? ›

WHAT IS SOONERCARE? SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. The Oklahoma Health Care Authority is the state agency that administers the program.

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