The Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) is a Medicaid program designed to help children under 19 years old with costs related to their disabilities. This covers significant medical, developmental or psychiatric needs. Though they may be deemed “disabled” or have high medical costs, not all children qualify for this program.
To qualify, your child must meet one of the following three "level of care" criteria:
Each of these categories has specific criteria, so not all children who receive one of these three levels of care will qualify for Alaska Medicaid - TEFRA.
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 whether or not your child meets the basic requirements for TEFRA assistance. They will also contact Qualis Health to make a medical determination.
When Qualis Health is contacted about your case by the DPA, we will: