SoonerCare is Oklahoma’s Medicaid program, administered by the Oklahoma Health Care Authority (OHCA) in partnership with the Oklahoma Department of Health. Eligibility depends on factors such as age, household income, family status, disability, pregnancy, and Medicare eligibility.
You may qualify if you belong to one of these groups:
- Children under 19
- Adults with children under 19
- Pregnant women
- Adults age 19–64 who are not eligible for Medicare
- Individuals 65 and older
- Individuals who are blind
- Individuals with disabilities
- Women under 65 needing breast or cervical cancer treatment
- Men and women age 19 and older with family planning needs through SoonerPlan
- Former Foster Care Medicaid recipients
When determining eligibility, SoonerCare considers:
- Income guidelines
- Types of income
- Citizenship guidelines
Eligible members may receive health care services, including:
- Inpatient care
- Outpatient care
- Behavioral medicine
- Prescription drugs
Important Criteria to Meet Before You Apply
Before applying for SoonerCare Medicaid, make sure you have the required information and documents ready. This helps complete your application faster and reduces delays during eligibility verification.
You’ll Need
- Applicant, Spouse, Household Member, Family Member, or Pregnant Family Member information (if applicable)
- Social Security Number
- Date of Birth
- Identity Information
- Citizenship Information or Alien Registration Information
- Household Information
- Taxable Income
- Spouse’s Taxable Income
- Employment Income and Other Types of Income
- Employer Name, Employer Address, and Employer Telephone Number
- Current Health Insurance Information, including:
- Health Insurance Company Name
- Policy Number
- Group Number
- Type of Coverage
- Effective Date
- Policyholder Name
- Policyholder Identity
- Expected Due Date and Number of Babies (if pregnant)
- Supporting Documentation for documentation verification
During the Application Process
Your application may go through:
- Medicaid Application
- Online Enrollment or Online Renewal
- Automated Data Search
- Eligibility Verification
- Documentation Verification
- Member Screening
- Application Approval
- Fraud Prevention and Abuse Prevention
This information is used by the Oklahoma Health Care Authority (OHCA) to determine eligibility for SoonerCare and process your application accurately.