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  • Form 08oa001e (tefra-1) - Okdhs

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Date of birth Social Security number Current residence Home Street address Hospital MI Race Area code Other Specify City County State Gender M F Phone Zip Insurance company and policy number 2. Parent/guardian/designated representative contact information. Last name First name Street address City Area code Relationship to child Phone County Primary physician s name Street address MI State Area code City Gender M F Zip Phone State Zip State Zip Facility/hospital wh.

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Related content

Form 08OA001E (TEFRA-1) - Oklahoma.gov
Physician Assessment for TEFRA. Page 2 of 6. OKDHS issued 12-1-2006. 08OA001E (TEFRA-1)...
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Issue S In Informing Science And Information Technology Vertex And Primitive Operations Inside Mentoring Manual - State Bar Of Georgia - Gabar Department Of Administrative Services - State Of Oregon - Oregon

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WHAT IS SOONERCARE? SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. The Oklahoma Health Care Authority is the state agency that administers the program.

Title 19 (also referred to as “Medical Assistance” or “Medicaid”) is a joint federal-state welfare program which provides funding to cover the costs of nursing home and assisted living care for individuals who meet certain income and asset requirements.

Eligibility To be eligible, a child must meet the following requirements: Be under age 19. Meet the Social Security definition of disability. Have qualifying income and resources. Meet an institutional level of care.

TEFRA (Tax Equity and Fiscal Responsibility Act of 1982) gives states the option to make Medicaid (SoonerCare in Oklahoma) benefits available to children with physical or mental disabilities who would not ordinarily be eligible for Supplemental Security Income (SSI) benefits because of their parent's income or ...

​SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232