1115(a) Demonstration Waiver Work/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 work/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

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: Work/Community Engagement Waiver Amendment Request Draft. Comments and questions may be submitted below or by contacting Bill Garrison, OHCA Federal & State Reporting Coordinator by telephone at 405-522-7914.

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 



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...
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