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David Stanley Ford

Thousands lose SoonerCare benefits
Thousands lose SoonerCare benefits

By Jeff Raymond    Comments Comment on this article7
Published: December 14, 2007

TULSA — Almost 6,000 SoonerCare enrollees lost coverage Dec. 1 because they were unable to provide proof of citizenship, the Oklahoma Health Care Authority announced at its monthly meeting Thursday.

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Who's affected

Demographics of those who lost coverage:

•62 percent are

children

•38 percent are adults

•58 percent are white

•18 percent are black

•13 percent are American Indian

•10 percent are

Hispanic

•1 percent are Asian

Source: Oklahoma Health

Care Authority

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Most of the 5,841 people who lost Medicaid benefits through the SoonerCare program are U.S. citizens, the authority said in a news release.

The federal Deficit Reduction Act of 2005 changed how states must verify citizenship for Medicaid services. U.S. citizenship has always been a requirement to qualify for Medicaid. Federal law, however, now requires a birth certificate or other documentation as proof.

How to reapply
Nico Gomez, director of governmental and public affairs for the authority, said the simplest way to reapply for services is to bring a birth certificate to a local Department of Human Services office. SoonerCare enrollees having trouble putting together their documents should contact DHS.

Those at risk of losing coverage may reapply during December without being dropped. Those at risk in the coming months may reapply in the month they are to be dropped.

"The eligibility starts in the month that you apply or you reapply,” Gomez said, predicting some 5,500 people would lose coverage in January.

Many who lost coverage had trouble getting birth certificates from other states or moved and didn't know their coverage was in danger, Gomez said.

Previously, SoonerCare enrollees had to attest they were U.S. citizens.

The health care authority has worked in partnership with the state's social service agencies to comply with the changes and ensure Medicaid recipients meet requirements. In November, according to the release, the authority mailed final-notice letters. Those who lost coverage were notified at least four times before the cut-off.

Starting on July 7, recipients were required to provide proof of citizenship.

Oklahoma DHS staff also called recipients and made home visits in an attempt to educate them about changes.

"It is important to raise this issue so people understand the continuity of their health care is at stake. I expect we will learn like other states have that nearly all of these individuals are in fact U.S. citizens, but unfortunately they have not provided the necessary proof to maintain their coverage,” authority CEO Mike Fogarty said in the release.

Call DHS immediately
The authority suggests those who receive letters and have proper documentation call their local DHS office as soon as possible. Each month another group of people will reach the end of the time they have to prove citizenship.

The number of people affected each month will vary and likely will decrease, according to the release.

Fogarty predicted people would bring necessary paperwork and re-enroll when they need medical help.

"Unfortunately,” he said, "some of these folks will end up seeking medical care in the emergency room when they get really sick without any way to pay for it, and that cost is shifted to everyone.”

Recipients may prove citizenship and identity with a U.S. passport, certificate of naturalization or certificate of citizenship. If they do not have these documents, they may use a U.S. birth certificate and driver's license or state ID.

Other acceptable proof is listed at www.ohca.org.

Proof of citizenship and identity for newborns of SoonerCare members is not required until they are 1 year old.

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Of course most of them are U.S. citizens. Anchor babies.
T. A., Moore - Dec 20, 2007 at 9:45 am
That makes no sense Haskell. You cannot be a citizen and NOT have a birth certificate. They were given months of warning to find their certificates and still either ignored it or were here illegally.
Jack, Oklahoma city - Dec 17, 2007 at 8:47 am
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Ignore Jack
Unable to get the state to pay for it.A person can recieve medical attention.This is about who pays for it.
RICHARD, YUKON - Dec 15, 2007 at 8:02 pm
I hope all you 1804 mind-numbed robots are sleeping better at night knowing that there are children of Mexicans (many US Citizens themselves) not able to get health care. Wait till one of them dies because they couldn't go to the doctor.

So glad your true colors are showing.

1804 sucks and needs to be REPEALED.
Bryan, Oklahoma City - Dec 14, 2007 at 11:14 pm
This made a HUGE difference in my last two visits to my doctors. For my surgical specialist, I was in and out within 45 minutes. For my primary care physician, I was in and out in an hour. This compares to 2 to 3 hours for all visits to any of my doctors. Reason?? There were only a hand full of Hispanic people seeking free medical care. My physician takes Sooner Care and I get medical care through the state. I want those people to get care but I would like to see every doctor in this state take their fare share. That way, the state clinics aren't flooded with people seeking free medical services. Hey, here's an idea. Every practicing attorney is supposed to handle indigent cases through the indigent defense fund. How about copying that system for medical care for indigent patients?
John, Stigler - Dec 14, 2007 at 9:16 pm
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most of us take a birth certificate for granted, but contrary to you highly educated Okies, there are people who are citizens of our country that do not have a birth certificate. if you think other wise you need to go back to OZ with dorthy
JH, deep red creek - Dec 14, 2007 at 7:32 pm
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This should be the headline for The Oklahoman.....oh, that's right.....this is counter to their agenda to help business in this state lower the working wage by hiring illegal aliens. This is great news! HB1804 is working!
Philip, Oklahoma City - Dec 14, 2007 at 8:06 am

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