Medical Assistance under the TEFRA Option

2.3.6.1 General 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 provides general policy information that applies to the MA under the TEFRA option. 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 the 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) programs.

Topics covered in this subchapter are:

1. TEFRA Applications

2. MA Cooperation

3. MHCP Fraud

4. MHCP Inconsistent Information

5. MA Referral for Other Benefits

6. MHCP Rights

7. MA Third Party Liability

   1. MA Cost Effective Insurance

   2. MA Medical Support

   3. MA Other Third Party Liability

Published:  June 1, 2016

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