Overview of TEFRA/Katie Beckett
The Department of Community Health (DCH) provides Medicaid bene ts to eligible children through the TEFRA/Katie Beckett Medicaid program under §134 of the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (P.L. 97-248). States are allowed, at their option, to make these Medicaid bene ts available to children (age 18 or under) at home who qualify as disabled individuals under §1614(a) of the Social Security Act as long as certain conditions are met, even though these children would not ordinarily be eligible for Supplemental Security Income (SSI) bene ts because of parental income or resources. The speci c statutory provisions establishing this option are contained in §1902(e) of the Social Security Act.
Who Is Eligible?
For Medicaid eligibility to be established under the TEFRA/Katie Beckett Program, it must be determined that: The child is 18 years old or younger, AND
The child meets federal criteria for disability, AND
The child is nancially ineligible for SSI bene ts, AND
The child requires a level of care provided in a hospital, skilled-nursing facility or intermediate-care facility (including an intermediate-care facility for the mentally retarded); AND
The child can appropriately be cared for at home, AND
The estimated cost of caring for the child outside of the institution will not exceed the estimated cost of treating the child within the institution.
Applying for the TEFRA/Katie Beckett Program
Applications for Katie Beckett may be led with the Centralized Katie Beckett Medicaid Team.
Right From the Start Medicaid Project Centralized TEFRA/Katie Beckett Medicaid Team
5815 Live Oak Parkway
Norcross, GA 30093-1700