STATE PROFILE • Last updated: November 11, 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.
leaderboard
RANKED #49
GRADE F
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
F
Grade
AFFORDABILITY
GRADE B · 84
QUALITY
GRADE F · 20
STAFFING
GRADE F · 5
ACCESS
GRADE C · 44
MEDICAID SUPPORT
GRADE D · 19
Composite score: 14.9 / 100 (50 = average state)
Methodology arrow_forward
Oklahoma At a Glance
Nursing Home Facilities
284
Senior Medicaid Waivers
1
National Rank
#49 / 51
Range #48–#50 when the pillar weights shift
Senior Care Costs in Oklahoma
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
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home_health
Home Health Aide
$23/hr
-14.8% vs national avg
- Median aide wage $12.76/hr
- ~20,560 aides employed statewide
Source: BLS OEWS
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