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Senate Bill 1547, passed May 2004 in anticipation of the DRA expansion.
The Deficit Reduction Act of 2005 allows more states to develop long-term care programs.
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L Educate consumers and promote the benefits of long-term care partnership insurance coverage
Provide incentives for individuals to create long-term care plans that meet their needs
Minimize long-term care costs to the state Medicaid budget
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f R e w a r d p e o p l e w h o b u y l o n g - t e r m c a r e p a r t n e r s h i p p o l i c i e s b y p r o v i d i n g s o m e p r o t e c t i o n o f t h e i r a s s e t s .
T h i s r e w a r d m e a n s t h a t t h e y c a n a c c e s s S o o n e r C a r e ( O k l a h o m a M e d i c a i d ) l o n g - t e r m c a r e b e n e f i t s w i t h o u t m e e t i n g t h e u s u a l a s s e t s p e n d d o w n r u l e s .
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A s s e t D i s r e g a r d : C o n s u m e r s k e e p $ 1 o f t h e i r a s s e t s f o r e v e r y $ 1 i n L T C p a r t n e r s h i p c o v e r a g e t h e y p u r c h a s e .
B e n e f i t c o v e r s a s s e t s , n o t i n c o m e .
S o o n e r C a r e e l i g i b i l i t y n o t a u t o m a t i c m u s t s t i l l m e e t e l i g i b i l i t y r e q u i r e m e n t s .
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The OLTCP program includes:
Inflation protection
Reciprocity between states
Exchange/Conversion of Policy
Exhaustion of Benefits
Disclosure Notices
Reporting requirements $
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Y o u n g e r t h a n 6 1 y e a r s 3 % c o m p o u n d i n f l a t i o n p r o t e c t i o n o r C P I .
B e t w e e n t h e a g e s o f 6 1 a n d 7 6 3 % s i m p l e i n f l a t i o n p r o t e c t i o n .
O v e r 7 6 y e a r s t h e p o l i c y m a y p r o v i d e s o m e i n f l a t i o n p r o t e c t i o n , b u t i t i s n o t r e q u i r e d .
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@ Some states, including Oklahoma, have agreed to the federal reciprocity standard.
This standard says that the state agrees to apply asset disregard provisions on a dollar for dollar basis for Medicaid applicants who purchased qualified policies.
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Insurers who sell partnership policies, must offer consumers the option to exchange an existing long-term care policy for a new partnership policy if the original policy was purchased February 8, 2006, or later.
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Currently, Oklahoma law requires that an individual exhaust their insurance benefits before applying for SoonerCare.
There is an effort underway focused on modifying this law.
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OLTCP insurers must report certain data to the federal government (HHS) such as when:
Insurance benefits have been paid and the amount of those benefits
Partnership policy terminates ( W
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Prospective applicants must be given OLTCP program notice that outlines the requirements and benefits of a partnership policy
At issue, policy must include a Partnership Disclosure Notice
Other existing OLTCP disclosures also apply
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Individual may apply at the local county OKDHS office
OKDHS makes the determination of eligibility
Eligibility for SoonerCare is based on income and other categorical relationship i.e. Age, Disability, etc s
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OHCA may approve 10 days of nursing facility care while OKDHS area nurse is making a medical determination
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L 1986
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L 1987
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L 1997
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