(a) Categorical relationship is established using the same definitions of age, disability and blindness as used by the Social Security Administration (SSA) in determining eligibility for Supplemental Security Income (SSI) or SSA benefits.  If the individual is a SSA/SSI recipient in current payment status (including presumptive eligibility), a TANF recipient, or is under age 19, categorical relationship is automatically established.  Categorical relationship to pregnancy-related services is established when the determination is made by medical evidence that the individual is or has been pregnant.  Pregnancy-related services include all medical services provided within the scope of the program during the prenatal, delivery and postpartum periods.  For an individual age 19 or over to be related to AFDC, the individual must have a minor dependent child.  Categorical relationship to Refugee services is established in accordance with OAC 317:35-5-25. Categorical relationship for the Breast and Cervical Cancer Treatment program is established in accordance with OAC 317:35-21. Categorical relationship for the SoonerPlan Family Planning Program is established in accordance with OAC 317:35-5-8.  Categorical relationship for pregnancy related benefits covered under Title XXI is established in accordance with OAC 317:35-22.  Benefits for pregnancies covered under Title XXI medical services are provided within the scope of the program during the prenatal, delivery and postpartum care when included in the global delivery payment.  To be eligible for SoonerCare benefits, an individual must be related to one of the following:

• (1) Aged
• (2) Disabled
• (3) Blind
• (4) Pregnancy
• (5) Aid to Families with Dependent Children
• (6) Refugee
• (7) Breast and Cervical Cancer Treatment program
• (8) SoonerPlan Family Planning Program
• (9) Benefits for pregnancies covered under Title XXI.

(b) The Authority may provide SoonerCare to reasonable categories of individuals under age 21 who are not receiving cash assistance under any program but who meet the income requirement of the State's approved AFDC plan.

• (1) Individuals eligible for SoonerCare benefits include individuals between the ages of 19 and 21:
  • (A) for whom a public agency is assuming full or partial financial responsibility who are in custody as reported by the Oklahoma Department of Human Services (OKDHS) and in foster homes, private institutions or public facilities; or
  • (B) in adoptions subsidized in full or in part by a public agency; or
  • (C) individuals under age 21 receiving active treatment as inpatients in public psychiatric facilities or programs if inpatient psychiatric services for individuals under age 21 are provided under the State Plan and the individuals are supported in full or in part by a public agency; or
• (2) Individuals eligible for SoonerCare benefits include individuals between the ages of 18 and 21 if they are in custody as reported by OKDHS on their 18^th birthday and living in an out of home placement.