How to Apply for TEFRA

TEFRA is a resource that is available to certain families/people in Arkansas. “Also known as the Katie Beckett option, TEFRA is a category of Medicaid that provides care to disabled children in their homes rather than in institutions. To qualify for TEFRA benefits, the child must be disabled according to the Supplemental Security Income (SSI) definition of disability and must meet the medical-necessity requirement for institutional care.”

More information on whether a child is eligible

FACT SHEET – page 2 includes how your premium cost is determined.

Here’s how you can apply:

Step 1: Have your PCP fill out the Physician Assessment Form.

Step 2: Get a copy of all of your child’s evaluations (OT, PT, SLT) or any other medical documentation that proves your child needs this assistance.

Step 3: Complete the Application Form.

Step 4: Take the completed forms to the Arkansas Children’s Hospital admissions desk, and ask to meet with a financial counselor. Expect to be there at least an hour because you will have additional forms to fill out. (Hours: M-F 7:30am – 6:00pm; Sat & Sun 9:00am – 6:00pm)

You may also take these forms to your local county DHS office. Find it!

You must take the following items with you:
– Child’s Birth Certificate
– Copy of Child’s current evaluations
– Any asset in the child’s name (savings account, CDs, etc.)
– Last year’s taxes for parent/guardian
– Copy of insurance cards

Ask them to make a copy of the completed application. Make sure they sign their name, date of receipt, and add their phone number. This will help you check the status later.

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