Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
317:35-5-6.1. Determining categorical relationship for pregnancy related services covered under Title XXI
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Revised 3-1-10

 

     Categorical relationship for pregnancy related benefits covered under Title XXI are determined in accordance with OAC 317:35-22-1 and through medical evidence that the individual is currently or has recently been pregnant and may qualify for pregnancy related services.  Pregnancy must be verified by providing medical proof of pregnancy within 10 days of application submission.  OKDHS form 08MA005E (.doc, 3 pp, 609 KB) , Notification of Needed Medical Services, is not required but will be accepted as medical verification.  If proof of pregnancy is not provided within 10 days of application submission, SoonerCare benefits will be closed for the pregnant woman at the end of the ten day period.  The applicant must be residing in the State of Oklahoma with the intent to remain at the time the medical service is received.  The expected date of delivery must be established either by information from the applicant's physician or other qualified practitioner.