State of Alaska, Department of Health and Social Services, Division of Public Assistance Tax Equity and Fiscal Responsibility Act Program

The Tax Equity and Fiscal Responsibility Act of 1982, known as Alaska Medicaid - TEFRA, is a program for children (under 19 years old) with disabilities and significant medical, developmental or psychiatric needs. The program was developed with specialized requirements that may allow children who would not typically qualify for Medicaid because of family income to receive specific Medicaid benefits.

What are the eligibility requirements?

The child needs to meet the medical, developmental or psychiatric condition that fits the Supplemental Security Income definition of disability. Only the child’s personal income and resources are used when determining eligibility―not the parent's. Not all children who are determined disabled or have high medical costs qualify for this program.

What does Qualis Health do for Alaska Medicaid - TEFRA?

Qualis Health is contracted by the State of Alaska, Division of Public Assistance (DPA) to perform application review. We help determine if a child meets the medical, developmental or psychiatric requirements for this program. We assist care coordinators, families and state agencies to provide administrative management and oversight throughout the application process, and assist participants in completing the application process within specified timelines. A Qualis Health nurse reviewer reviews documentation for level of care determination. We also provide physician support and consultation. The DPA administers the contract and the DPA long term care coordinator provides contract management and oversight.