1. Medical identification card.
(1) The initial medical identification card is generated when the custody specialist prints Form 04KI002E, Eligibility Determination, for determination of Title IV-E (IV‑E) eligibility and the Medicaid application, and the custody specialist certifies the Medicaid case.
(2) Medical identification cards are issued as outlined in (A) through (C).
(A) Children in Oklahoma Department of Human Services (OKDHS) legal custody or tribal custody and placed out‑of‑home receive two medical cards. One card stays with the child throughout placement changes. The other card stays in the paper case to be used when the Child Welfare (CW) worker takes the child for medical care. Children in this category include:
(i) children in OKDHS legal custody or tribal custody who are placed in Oklahoma;
(ii) youth 18, 19, or 20 years of age who have been in OKDHS custody or tribal custody and were released from custody upon turning age 18 but remain in OKDHS or tribal foster care or other living situation where OKDHS assumes full or partial financial responsibility; and
(iii) non IV-E eligible children in custody who are placed out‑of‑state through the Interstate Compact on the Placement of Children, if the receiving state does not provide medical assistance to other states' non IV-E eligible children.
(B) Children who receive one medical card include:
(i) children in OKDHS legal custody or tribal custody who are living in the home of a parent(s) if that child's family information qualifies the child for medical assistance. The CW worker encourages the family to apply for medical assistance;
(ii) children residing in Oklahoma who qualify for Oklahoma adoption pre-subsidy or Oklahoma adoption subsidy;
(iii) non IV-E eligible children receiving Oklahoma adoption subsidy and residing in other states if the receiving state does not provide medical assistance for those children;
(iv) children not in OKDHS custody or tribal custody if the child's family information qualifies the child for medical assistance and determination is made by the medical worker in the local county office of the child's residence. The CW worker encourages the family to apply for medical assistance; and
(v) youth 18, 19, or 20 years of age who were in OKDHS out‑of‑home care and custody on their 18th birthday and have left OKDHS or tribal care who meet the state's Medicaid eligibility criteria.
(C) Medical cards are not issued to:
(i) children residing in the home of a parent(s), regardless of custody status, if the family income information exceeds eligibility standards for medical assistance;
(ii) children in OKDHS custody or tribal custody who reside out‑of‑state and receive medical assistance in their state of residence; and
(iii) children receiving Oklahoma adoption subsidy who reside out-of-state and receive medical assistance in their state of residence.
2. The request to issue a new medical identification card is made by telephone to the company contracted by the Oklahoma Health Care Authority to provide medical identification cards.