Oklahoma TEFRA
The Tax Equity and Fiscal Responsiblity Act (TEFRA) of 1992 allows children with physical or mental disabilities, who would not ordinarily be eligible for State Supplemental Income benefits because of their parent's income or resources, to become eligible for SoonerCare (Medicaid).

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.

Contact your local OKDHS office to request TEFRA services.  For further information,  you may contact Regina Voight (405-522-7669) or Lori Kann (405-522-7342), at the Oklahoma Health Care Authority.

Arkansas TEFRA
TEFRA 134(a), a provision of the Tax Equity and Fiscal Responsibility Act of 1982, allows states to extend Medicaid coverage to certain disabled children.

To qualify for TEFRA benefits, the child
  • must be younger than 19
  • cannot have income that exceeds the Long Term Care Medicaid limit
  • cannot have countable resources that exceed $2,000

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 and by Children's Medical Services service team workers.

The Arkansas TEFRA program is coordinated by the Office of Long Term Care. For more information about the program, contact the Office of Long Term Care at (501) 682-8473 (voice) or (501) 682-8551 (fax).
If you are made aware of changes concerning the contacts mentioned above, please contact Developmental Wings.