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Also known as the Katie Beckett option, TEFRA is a category of Medicaid that provides care to disabled children in their homes rather than in institutions. To qualify for TEFRA benefits, the child must be disabled according to the Supplemental Security Income (SSI) definition of disability and must meet the medical-necessity requirement for institutional care. Children who live in institutions or who receive extended care in institutions are not eligible in the TEFRA category. To qualify for TEFRA benefits, the child:

Parental income and resources are not considered. Only the income and resources of the child are counted. Appropriate medical services must be available to provide care for the child in the home. The estimated cost of care in the home cannot exceed the estimated cost of care for the child in an institution. Children who receive SSI but lose coverage intermittently due to fluctuating parental income may be eligible for TEFRA benefits in the months they do not receive SSI.


The child's parent or guardian can apply for TEFRA at the DHS office in the child's county of residence. Applications also are accepted at Arkansas Children's Hospital.

Below are documents and forms that provide additional information and resources.

Click Title for file Download Type
TEFRA Fact Sheet PDF
TEFRA Application Form DOC
TEFRA Physician Assessment Form DOC

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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