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

Overview

TEFRA stands for the Tax Equity and Fiscal Responsibility Act of 1982. It is a Medicaid program for children under 19 years old with disabilities and significant medical, developmental or psychiatric needs.

Please understand that not all children who are determined disabled or have high medical costs qualify for this program.

How do I know if my child might quality for Alaska Medicaid - TEFRA?

To qualify for Alaska Medicaid - TEFRA, your child must meet one of the following three "level of care" criteria:

1. Intermediate Care Facility for the Mentally Retarded (ICF/MR)
2. Nursing Facility (skilled and/or intermediate) (NF)
3. Inpatient Psychiatric Hospital (IPH)

Each of these categories has specific application criteria, so not all children that receive one of these three levels of care will qualify for Alaska Medicaid - TEFRA.

How do I apply?

You can apply through the State of Alaska Department of Public Assistance (DPA). The DPA is the central agency in all TEFRA Medicaid eligibility decisions. A DPA caseworker will verify your child’s income and resources to determine if they meet the basic requirements for TEFRA. They will also contact Qualis Health to make a medical determination.

How does Qualis Health help?

When Qualis Health is contacted about your case by the DPA, we will:

• Open an Alaska Medicaid - TEFRA application for your child
• Send you a letter with a list of care coordinators to choose from
• Work with the care coordinator you choose to ensure that the right forms are submitted on time
• Track the progress of any new or renewal applications you submit

For more detailed information, we invite you to review:

• Alaska Medicaid - TEFRA Frequently Asked Questions
• Alaska Medicaid - TEFRA Brochure
• Alaska Medicaid - TEFRA Definitions
• Alaska Medicaid - TEFRA Application Process Chart
• Case Examples
• Care Coordinator Contact Lists:
  • Bethel Area
  • Kenai Peninsula
  • Kodiak
  • Northern Area
  • South Central
  • South East

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