1115(a) Demonstration Waiver Community Engagement Amendment

Pursuant to 42 CFR § 431.408, the Oklahoma Health Care Authority (OHCA) is providing public notice of its plan to submit an amendment to the existing approved 2018 Section 1115(a) extension waiver for the SoonerCare Choice and Insure Oklahoma programs.

The proposed amendment will implement community engagement requirements as a condition of SoonerCare eligibility for certain adults not otherwise exempted. 

It is the intent of the Oklahoma Health Care Authority to submit the amendment no later than October 1, 2018 with an effective date of February 1, 2019.  The initial budget impact for system modifications is estimated at $700,000 total dollars with $70,000 of the total being state share.  However, additional dollars are anticipated for the administration of the program but an exact amount is unknown at this time.

The OHCA expects to conduct several public meetings around the state during the months of July-September.  As of this date, the agency has scheduled the below required public meetings. Information on additional meetings will be provided on the agency’s public website as future dates and times are determined.

July 11, 2018 at 11:00 a.m.

Tribal Consultation

Ed McFall Boardroom

Oklahoma Health Care Authority

4345 N. Lincoln Blvd, Oklahoma City, Oklahoma


July 19, 2018 at 1:00 p.m. 

Medical Advisory Committee

Ed McFall Boardroom

Oklahoma Health Care Authority

4345 N. Lincoln Blvd, Oklahoma City, Oklahoma


August 10, 2018 at 11:30 a.m.

OU Sooner Health Access Network

OU - Tulsa Schusterman Center - Learning Center

4502 E. 41st Street, Tulsa, Oklahoma     


August 16, 2018 at 3:00 p.m.

Comanche County Health Department

1010 SW Sheridan Road, Lawton, Oklahoma


August 17, 2018 at 3:00 p.m.

Norman Regional - Porter Campus

Education Center, Rooms ABC

901 N. Porter Avenue, Norman, Oklahoma

August 20, 2018 at 1:30 p.m.

Pawnee City Hall

510 Illinois Street, Pawnee, Oklahoma


August 21, 2018 at 1:30 p.m.

Variety Care - Lafayette Clinic

500 SW 44th Street, Oklahoma City, Oklahoma

August 23, 2018 at 3:00 p.m.

Northwestern Oklahoma State University

Room 131

2929 East Randolph Avenue, Enid, Oklahoma

August 24, 2018 at 10:00 a.m.

Eastern Oklahoma State College - McAlester Campus

1802 College Avenue, McAlester, Oklahoma

August 24, 2018 at 2:00 p.m.

Kiamichi Technology Center - Poteau Campus

1509 South McKenna Street, Poteau, Oklahoma     


August 27, 2018 at 3:00 p.m.

James O. Goodwin Health Center

5051 South 129th East Avenue, Tulsa, Oklahoma             

The OHCA welcomes comments from the public regarding the amendment to the SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver program. Please view the waiver amendment in its entirety here: Community Engagement Waiver Amendment Request Draft. Comments and questions may be submitted below, via email at OHCAcommunityengagement@okhca.org, or with the OHCA Federal & State Reporting Unit by telephone at 405-522-7914. Comments may be submitted from July 3, 2018 through September 30, 2018.

 Please view additional documents here:

  1. SoonerCare Choice Budget Neutrality
  2. 1115(a) Waiver Projects Currently Undergoing Application and Amendment
  3. CMS Standard Funding Questions 
  4. Continuous Comment Document 



Teri Scroggins
I don't disagree with work or community involvement. My concern is for individuals that cannot leave the home. For example: There is a mother who cannot leave her house. She has someone buy groceries and do errands for her. She does not have internet, television, or phone. She has two children. She was a crack addict. She no longer uses and this is why she is a shut in. If she leaves her home, she is afraid that she will going back to using drugs. She wants to be a good mom and to do that she cannot leave her home. She wants to stay clean for her kids. What does she do? I don't know if she receives disability or any other assistance. However, if a case worker could assist in obtaining a computer and internet. She could work from home. She could also be part of a community group and provide support to individuals in a similar situation. This is something to consider. Work does not always have to be from an employer. There are a lot of individuals that have the capability to be self employed. They just don't know how to run a business. Oh...and thus we could have a center to help them with payroll, bills, materials, marketing, etc. A bunch of new jobs. How do we pay for these jobs? By taking a small percentage or a flat fee from the self employed individual's business. Just a thought...
OHCA Staff Reply
Thank you for your feedback. OHCA considers all input seriously and will take your comments under advisement.

Mary L Hockett Thoma
Exemptions need clarification and direct mail publication to every Sooner Care recipient and their caregiver. Some are moving to other states because they don't understand exemptions. If beneficiaries are/were minors at the time of the rule change how are they affected if their condition continues into the age of majority?
OHCA Staff Reply
Thank you for your feedback. OHCA considers all input seriously and will take your comments under advisement.

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Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.