Medical Assistance-TEFRA for children with disabilities

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Medical Assistance-TEFRA (MA-TEFRA) is for children with disabilities whose parents have too much income to qualify for other Minnesota Health Care Programs or who qualify but the cost would be too high.

To qualify for MA-TEFRA, a child must meet ALL of the following:

  • • live with at least one parent
  • • be under age 19
  • • have a disability determination from the State Medical Review Team (this is required even if Social Security has certified the child as disabled)
  • • need a certain level of care to stay at home which compares to the level of care provided in a hospital, nursing home or intermediate care facility for people with developmental disabilities
  • • home care costs are less than the cost for care in a medical facility.

  • How is MA-TEFRA different from regular Medical Assistance (MA)?
    Only the child’s income is counted for MA-TEFRA eligibility. The child’s income limit is the same as the MA limit for a person who has a disability.

    For regular MA, parents’ income is counted. If the parents’ income is more than the MA limit, the child may not qualify for MA or the child may have a spenddown.

    Is there an asset limit?
    Children do not have an asset limit.

    What does MA-TEFRA coverage cost?
    Parents will have to pay a parental fee. The amount of the fee is based on the parents’ income. You can estimate what your fee may be using this worksheet (PDF) or our online estimator. Children do not have copays.

    When will coverage start?
    After your child is approved, coverage may:

  • • Go back to the date your application was received, or
  • • Go back three months from the date your application was received.

  • Call your county office if you have questions about when coverage can start.

    What if my child has other health insurance?
    Your child may still get coverage. You must tell us if your child has other health insurance or could be covered by someone else’s insurance. Sometimes we can pay the cost of the other insurance so you can keep that coverage.

    What does MA-TEFRA stand for?
    It is short for the Tax Equity and Fiscal Responsibility Act, the federal law that established the criteria for this program.

    Contact us

    (651) 431-2670 (Twin cities metro area)
    (800) 657-3739 (Outside Twin cities metro area)

    Addresses and phon
    e numbers for county offices

    Disability Linkage Line
    (866) 333-2466
    TTY: (800) 627-3529 or 711

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