1. (a) A member is disenrolled from the program if he/she:

   1. (1) is admitted to a hospital, nursing facility, ICF/IID, residential care facility or behavioral health facility for more than thirty (30) consecutive days;
   2. (2) is incarcerated;
   3. (3) is determined to no longer meet SoonerCare financial eligibility for home and community based services;
   4. (4) determined by the Social Security Administration or OHCA Level of Care Evaluation Unit to no longer have a disability that qualifies for services under the Living Choice program; or
   5. (5) moves out of state.
2. (b) Payment cannot be made for an individual who is in imminent danger of harm to self or others.

Added at 26 Ok Reg 266, eff 12-1-08 (emergency)

Added at 26 Ok Reg 1076, eff 5-11-09

Amended at 29 Ok Reg 1193, eff 6-25-12

Amended at 35 Ok Reg 10, eff 8-10-17 (emergency)

Amended at 35 Ok Reg 1500, eff 9-14-18