Revised 12-15-11

1.   Medical identification card.

(1) The initial medical identification card for the child in Oklahoma Department of Human Services (OKDHS) or tribal custody is generated when the custody specialist certifies the Medicaid case.

(2) When the child is in tribal custody, the custody specialist assigned to the county where the tribal liaison is located completes the initial certification and retains the Medicaid case.

(3) A medical identification card is issued when:

(A) a child in OKDHS or tribal custody is in out-of-home placement;

(B) a child in OKDHS or tribal custody is placed in Oklahoma;

(C) youth 18, 19, or 20 years of age:

(i) were in OKDHS or tribal custody at the time the youth turned 18 years of age; and

(ii) remain in OKDHS or tribal foster care or other living situation for which OKDHS assumes full or partial financial responsibility;

(D) a non IV-E eligible child in OKDHS custody is placed out-of-state through the Interstate Compact on the Placement of Children, and the receiving state does not provide medical assistance to other states' non IV-E eligible children;

(E) a child in OKDHS or tribal custody is living in the home of a parent and child's family information qualifies the child for medical assistance.  The CW specialist encourages the family to apply for medical assistance at the local OKDHS office;

(F) a child residing in Oklahoma qualifies for Oklahoma adoption pre-subsidy or Oklahoma adoption subsidy;

(G) a non IV-E eligible child receiving Oklahoma adoption subsidy resides in another state and the receiving state does not provide medical assistance for the child;

(H) a child is not in OKDHS or tribal custody and the child's family information qualifies the child for medical assistance as determined by the Oklahoma Health Care Authority.  The CW specialist encourages the family to apply for medical assistance; and

(I) youth 18, 19, or 20 years of age:

(i) were in OKDHS out-of-home care and custody on their 18th birthday;

(ii) have left OKDHS or tribal care; and

(iii) meet the state's medical assistance Medicaid eligibility criteria.

(4) A medical card is not issued to a child when the child:

(A) resides in the home of a parent, regardless of custody status, and the family income information exceeds eligibility standards for medical assistance;

(B) is in OKDHS or tribal custody, resides out-of-state, and receives medical assistance in the child's state of residence; and

(C) receives Oklahoma adoption subsidy, resides out-of-state, and receives medical assistance in the child's state of residence.

(5) The medical identification number remains assigned to the child throughout the child's stay in OKDHS or tribal custody and the card is given to each placement provider if the child's placement changes.

(6) The medical identification card is delivered to the child's primary CW specialist who sends the card to the child's placement provider.

2.   Replacement medical identification card.  Lost medical identification cards are replaced on an individual basis at the request of the Child Welfare specialist.

(1) The lost card is null and void at the time a replacement medical identification card is requested.

(2) The request to issue a new medical identification card is made by telephone to the company that contracts with Oklahoma Health Care Authority to provide medical identification cards.