Medicaid Provider Enrollment Overview

Oklahoma offers 4 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Oklahoma Health Care Authority (OHCA). Currently, Oklahoma is actively enrolling new home care providers.

The average enrollment timeline is 90-120 days from initial application to receiving your first client. With medium demand for home care services, Oklahoma represents a solid opportunity for agencies looking to serve Medicaid clients.

Oklahoma Medicaid Waiver Programs

Home care agencies in Oklahoma can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

ADvantage Waiver

1915(c) Waiver

Services for elderly and adults with physical disabilities

2

Community Waiver

1915(c) Waiver

Services for individuals with developmental disabilities

3

In-Home Supports Waiver for Adults (IHSW)

1915(c) Waiver

In-home DD services

4

Medically Fragile Waiver

1915(c) Waiver

Services for medically fragile individuals

Oklahoma Provider Requirements

To become a Medicaid provider in Oklahoma, your home care agency must meet the following requirements:

  • Oklahoma business registration
  • Home Care Agency license from OSDH
  • Criminal background checks
  • Professional liability insurance
  • OHCA provider standards
  • Quality improvement plan

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Oklahoma:

1

Obtain Oklahoma home care agency license

2

Apply for NPI

3

Complete OHCA Provider Enrollment

4

Register in MMIS

5

Complete waiver-specific ADvantage certification

6

Execute provider agreement