Applying for TEFRA
The application packet includes the following forms:
- TEFRA waiver application form (DCO-9700)
- Third Party Liability form (DCO-662)
- Authorization for Release of Information form (DCO-4000)/ Español
- Physician Assessment form to be completed by child’s medical provider(s) (DMS-2602)
- Social Report form to be completed by parent (DCO-108C)
- Privacy Notice (PUB-408)
- Assignment of Medical Support (DCO-0237)
Approval of your child’s application to the program is based on the eligibility requirements that are explained on the TEFRA Eligibility page.
When will I hear something?
DHS has 45 days to determine eligibility on the TEFRA application, if a disability determination is not required. Disability determination would not be required if your child’s disability has already been established by the Social Security Administration.
If SSA has not established a disability, then a Medical Review Team, which includes doctors on staff at DHS, will review your child’s medical records to establish whether your child has a disability. Staff have up to 90 days to determine eligibility for TEFRA if your child’s disability must be determined.
In both cases, once your application has been processed, you will be sent a letter to let you know whether your child’s application was approved or whether your child was determined to be ineligible for the program.
Your child’s TEFRA must be renewed each year so that DHS can be sure your child is still eligible for the TEFRA program. You can find the complete renewal packet here.