TEFRA Children Overview

Care for children with disabilities

TEFRA (Tax Equity and Fiscal Responsibility Act of 1982) gives states the option to make Medicaid (SoonerCare in Oklahoma) benefits available to children with physical or mental disabilities who would not ordinarily be eligible for Supplemental Security Income (SSI) benefits because of their parent's income or resources. This option allows children who are eligible for institutional services to be cared for in their homes.

Eligibility

To be eligible, a child must meet the following requirements:

  • Be under age 19;
  • Meet the Social Security definition of disability;
  • Have qualifying income and resources;
  • Meet an institutional level of care. The three levels are: intermediate care for the mentally retarded, nursing facility, or hospital;
  • It must be appropriate to care for the child at home;
  • The estimated cost of caring for the child at home cannot exceed the estimated cost of caring for the child in the institution.

Services

Depending upon the person's needs, services may include:

  • child health/EPSDT
  • dental care
  • emergency and non-emergency transportation
  • inpatient and outpatient treatment
  • medical equipment
  • occupational therapy
  • pharmacy
  • physical therapy
  • vision

How to apply

You can apply at any Oklahoma Department of Human Services (OKDHS) county office. Call your county office to see if you need to schedule and appointment.

To help with the process, please bring: