OK ADvantage Waiver

The ADvantage Waiver program holds significant importance in the healthcare landscape, particularly for eligible adults in Oklahoma. Designed to offer alternatives to nursing facility placement, the program prioritizes individual choice, self-direction, and independence for older adults and those with disabilities. Notably, this Medicaid waiver recognizes the crucial role of family caregivers, who are integral to the healthcare system and deserve compensation for their dedicated efforts. 

Overview of ADvantage Waiver Program

The ADvantage Waiver is tailored to offer alternatives to nursing facility placement for adults requiring long-term care and assistance.

The primary purpose of the ADvantage Waiver is to promote individual choice and self-direction for older adults and individuals with disabilities. The program aims to enhance their quality of life and maintain connections with family and friends by enabling them to receive necessary care and services within their familiar environment. This approach also contributes to cost-efficiency by reducing reliance on costly institutional care.

The program's target population includes eligible Oklahoma residents aged 65 and above and adults aged 21 and above who have disabilities and require long-term care services. This waiver allows individuals to access various services, including personal care assistance, homemaker services, respite care, adult day health services, and more.

The ADvantage Waiver program operates with a compassionate and understanding tone, recognizing the significance of family caregivers in the healthcare system. Its objectives are to empower caregivers to provide dedicated care to their loved ones and ensure they are appropriately compensated for their valuable contributions. The program seeks to create a comprehensive and inclusive healthcare ecosystem that prioritizes individual well-being and community engagement by supporting caregivers and offering essential services to eligible adults.

Eligibility Requirements for the ADvantage Waiver Program

To qualify for the ADvantage Waiver program in Oklahoma, applicants must meet specific criteria to ensure that the program targets individuals who genuinely require long-term care services and support. The eligibility requirements encompass both financial and medical aspects, and applicants need to fulfill the following conditions:

1. Financial Qualification: Individuals must meet the income and asset limits set for Soonercare Medicaid, the state's Medicaid program. These limits are crucial to determine an applicant's financial need for assistance and ensure that those with limited financial resources receive the necessary support.
2. Medical Level of Care (LOC) Criteria: Applicants must demonstrate that they require a specific level of care to meet their medical needs. This medical assessment helps determine if an individual needs assistance with daily living activities and cannot function independently without support.
3. Age and Disability Criteria: The ADvantage Waiver program is open to individuals who fall into one of the following categories:
   > Age 65 and above, including individuals with intellectual or developmental disabilities.
   > Adults aged 21 to 64 with physical or other disabilities, even without cognitive impairment.

Meeting these eligibility requirements is essential to access the ADvantage Waiver program and benefit from its comprehensive services and support. By catering to those most in need, the program aims to provide a strong foundation for maintaining independence and fostering a sense of community for eligible adults in Oklahoma.

Services and Supports under the ADvantage Waiver Program 

The ADvantage Waiver program in Oklahoma offers a comprehensive range of services to eligible adults, tailored to meet their unique care needs and foster independence within their homes and communities. Some of the vital services covered under the waiver include:

1. Case Management: Dedicated case managers assist participants in navigating the waiver program, ensuring access to appropriate services and resources, and developing personalized care plans.
2. Personal Care: Qualified caregivers assist with daily living activities, such as bathing, dressing, grooming, and mobility, ensuring participants can maintain their dignity and independence.
3. Skilled Nursing: Participants receive skilled nursing services as needed, addressing medical needs and managing chronic conditions to improve overall health outcomes.
4. Home-Delivered Meals: Nutritious meals are provided to eligible adults, supporting their dietary needs and enhancing overall well-being.
5. Specialized Medical Equipment and Supplies: The program covers essential medical equipment and supplies, enabling individuals to manage their health conditions effectively.
6. Prescription Medications: Eligible participants receive necessary prescription medications to manage their conditions and maintain optimal health.
7. Home Modifications: Necessary home modifications are facilitated to enhance accessibility and safety, ensuring a conducive living environment.
8. Assisted Living: The waiver program offers assistance for individuals residing in assisted living facilities, providing suitable care and support.
9. Adult Day Health: Participants can access adult day health services, fostering social engagement and providing therapeutic activities.
10. Hospice: End-of-life care and support are available under the ADvantage Waiver program, ensuring comfort and dignity during this critical phase.

These services address various aspects of an individual's physical, emotional, and social well-being, emphasizing the importance of personalized care and support. 

Compensation for Family Caregivers

Under the ADvantage Waiver program in Oklahoma, unpaid family caregivers can receive compensation for the valuable care they provide to eligible participants. This compensation acknowledges family caregivers' significant role in supporting their loved one's well-being and recognizes their essential contributions to the healthcare system. The program offers a self-directed option, allowing eligible individuals or their representatives to have greater control over their care by choosing and managing their caregivers, including family members. This self-directed model empowers participants to tailor their care plans to suit their unique needs and preferences, fostering a sense of independence and autonomy. 

A note from Givers

As advocates for caregivers, we believe in their invaluable role within the healthcare system and their right to be compensated for their efforts. If you are a caregiver or know someone who might be eligible for compensation, we encourage you to take the next step and fill out this form to determine eligibility for caregiver compensation.