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Home→Agencies→Medicaid Estate Recovery→Oklahoma

Medicaid Estate Recovery in Oklahoma

SoonerCare is Oklahoma's Medicaid program, administered by the Oklahoma Health Care Authority. The state recovers from the estate of a deceased member the cost of certain SoonerCare services received on or after July 1, 1994, when the member was 55 or older when the care was received.

OverviewWhen someone dies

Medicaid Recovery

Oklahoma

oklahoma.gov/ohca/about/third-party-liability-liens/estate.html→

Administering agency

Oklahoma Health Care Authority (OHCA) — Third Party Liability, Estate Recovery

Phone405-522-7588
WebsiteVisit website →

Authority

OAC 317:35-9-15

Verified May 2026

Medicaid Estate Recovery in Oklahoma: key facts

Recovery scope
Payments for nursing facility services, home and community based services, related hospital and prescription drug services, physician services, and transportation, for care received on or after July 1, 1994.
Who is subject
Members who were 55 or older when the recoverable care was received. A lien may also be placed against the home of a member who is permanently institutionalized and cannot reasonably be expected to return home.
Recovery deferred
While a surviving spouse resides in the home; while a child age 20 or younger or a child of any age who is blind or permanently and totally disabled lawfully resides in the home; and for certain siblings or adult caregiver children who lived in and cared for the member in the home.
Undue hardship waiver
Recovery may be waived where enforcing it would deprive the individual or family of food, clothing, shelter, or other necessities of life, or of necessary medical care. Mere inconvenience does not qualify.

Frequently asked questions

No. Oklahoma recovers payments for nursing facility services, home and community based services, related hospital and prescription drug services, physician services, and transportation that a member received on or after July 1, 1994, when the member was 55 or older when the care was received.

Recovery is deferred while a surviving spouse resides in the home, while a child age 20 or younger or a blind or permanently and totally disabled child of any age lawfully resides in the home, and for certain siblings or adult caregiver children who lived in and cared for the member there.

Under OAC 317:35-9-15, undue hardship exists when recovery would deprive the individual or family of food, clothing, shelter, or other necessities of life, or of necessary medical care. Mere inconvenience to the family does not qualify.

When someone dies

Steps after a death in Oklahoma

4-step process for Oklahoma Health Care Authority (OHCA) — Third Party Liability, Estate Recovery.

View details →

Medicaid Recovery

Oklahoma

oklahoma.gov/ohca/about/third-party-liability-liens/estate.html→

Administering agency

Oklahoma Health Care Authority (OHCA) — Third Party Liability, Estate Recovery

Phone405-522-7588
WebsiteVisit website →

Authority

OAC 317:35-9-15

Verified May 2026