STATE PROFILE • Last updated: April 23, 2026
Oklahoma Elder Care & Medicaid
Oklahoma's SoonerCare program provides long-term care Medicaid for seniors, primarily through the ADvantage Waiver, offering home and community-based services as an alternative to nursing facility placement, with strict income and asset limits requiring a Miller Trust for excess income.
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RANKED #11
GRADE B
FEATURED
Medicaid Coverage Guide for Oklahoma
Full breakdown of ADvantage Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
ADvantage Waiver
Income cap
$2,982/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
B
Grade
AFFORDABILITY
STRONG
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
CRITICAL
MEDICAID SUPPORT
STRONG
Composite score: 53.1 / 100
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Oklahoma At a Glance
Nursing Home Facilities
284
Senior Medicaid Waivers
1
National Rank
#11 / 51
Senior Care Costs in Oklahoma
holiday_village
Assisted Living
$3,855/mo
-16.0% vs national avg
local_hospital
Nursing Home
$6,641/mo
-39.8% vs national avg
- 284 nursing homes · 27,504 beds
- Avg CMS rating 2.67★ (40 rated 5★, 85 rated 1★)
- 3.84 nurse hrs/resident/day (0.34 RN)
Source: CMS Nursing Home Compare
psychology
Memory Care
$4,819/mo
-16.0% vs national avg
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Home Health Aide
$23/hr
-14.8% vs national avg
- Median aide wage $12.76/hr
- ~20,560 aides employed statewide
Source: BLS OEWS