Medical Assistance under the TEFRA Option Non-Financial Eligibility Requirements

Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA for Families with Children and Adults (MA-FCA) income limit. The TEFRA option for children with a disability is named after the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 that created the option.

This subchapter includes non-financial eligibility policies. This covers eligibility factors not related to a person’s income or assets.

MA under the TEFRA option is only available to children living in the community with at least one biological, natural, adoptive or stepparent. See Appendix D Community Living Arrangements for more information. Children who would otherwise live in the community who are temporarily absent due to hospitalization or another reason, remain eligible for MA under the TEFRA option. See EPM 1.4.4 MHCP Temporary Absence for more information.

In general, MA under the TEFRA option follows the MA for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD) general requirements policies. Specific differences are indicated in MA under the TEFRA option policies listed below.

This subchapter includes policies that apply to MA under the TEFRA option and links to policies that apply to all MA programs, MA-ABD, and all Minnesota Health Care Programs (MHCP).

Topics covered in this subchapter are:

  1. MA-ABD Non-Financial Eligibility

    1. MA-ABD Bases of Eligibility

    2. MA-ABD Certification of Disability

    3. MA Citizenship and Immigration Status

    4. MA County Residency

    5. MHCP State Residency

    6. MA Social Security Number

  2. TEFRA Level of Care

Legal Citations

Code of Federal Regulations, title 42, section 435.225