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TEFRA (Katie Beckett) is a Medicaid coverage type for children who need a high level of care, like the care you may receive in a nursing home. It is for kids whose families can, and want to, provide care for their child at home. If your child had TEFRA Medicaid in another state, you must apply for it in South Carolina.
Because TEFRA does not count family income in determining a childs Medicaid eligibility, it allows parents of children with disabilities to continue working while still accessing Medicaid coverage for their child.
This eligibility group covers individuals who: Are age 18 or younger; Meet the SSI programs definition of disability for a child; and Have family income that does not exceed the income standard established by the state. There is no resource test for eligibility under this group.
TEFRA is a Medicaid waiver program. It provides care to children with a disability in their own homes. Children cared for at home must have medical services available. TEFRA is run by the Division of Medical Services.
Whether for TEFRA or any similar program, the key to approval is preparation and organization. Most states will have an advocacy program to help parents in applying for programs such as this. Find the organization in your state and research their available services. Download your state-specific TEFRA application.
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TEFRA Medicaid forms are available online at . You can also click here to print a hard copy of the Medicaid application. The application process can take several months. When you fill out the forms, be very detailed.

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