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Page 1 of 8 Appendix C-1 7/1/2023 Schedule II - Revoked Schedule III - Reserve for Future Use Schedule IV - Reserve for Future Use Maximum Income, Resource, and Payment Standards The Oklahoma Health Care Authority's Online Enrollment system determines eligibility for the groups below. Go to www.okhca.org/ for eligibility information for these groups: Children under 19 years of age; Parents with minor children; Pregnant women; Individuals wanting family planning services; and Women needing treatment of breast or cervical cancer. The Oklahoma Human Services (OKDHS) determines eligibility based on income and resource guidelines displayed in this appendix for persons applying for or receiving: Temporary Assistance for Needy Families (TANF) continued medical benefits. Refer to Schedule 1; TANF cash assistance and medical benefits. Refer to Schedule IX; SoonerCare (Medicaid) benefits for aged, blind, or disabled persons, including long term care services. Refer to Schedules V, VI, VII, VII.A and VIII.B, and XIII; State Supplemental Payment cash assistance and medical benefits for aged, blind, or disabled persons. Refer to Schedules VIII.A and VIII.D; SoonerCare (Medicaid) for refugees. Refer to Schedule XIV; TANF Supported Permanency. Refer to Schedule XVII; and Title IV-E eligibility for children in the custody of OKDHS or a federally recognized Indian tribe. Refer to Schedule XV. Schedule I - Categorically Needy Standards for TANF Continued Medical Benefits Monthly countable income must be equal to or less than the following income standards, which are 185 percent of Federal Poverty Guidelines. Resources are excluded in determining eligibility. Refer to Oklahoma Administrative Code (OAC) 340:10-3-75. Size of family 1 2 3 4 5 6 7 8 9 or more Monthly income standard $2,248 $3,040 $3,833 $4,625 $5,417 $6,210 $7,002 $7,795 Add $792 per month for each person over 8