July 16, 2015

TEFRA Option and Children with Disabilities


The Catalyst Center has produced a policy brief -- Expanding Access to Medicaid Coverage: The TEFRA Option and Children with Disabilities -- that clarifies the differences and similarities between TEFRA and Home- and Community-based Services waivers. It explains how TEFRA can help reduce health care coverage inequities among children with disabilities whose family incomes are too high to qualify for Medicaid while allowing children to be cared for at home rather than in institutional settings. TEFRA provides wrap coverage for children with disabilities who have private insurance and access to the federally mandated EPSDT benefit. It allows families to keep working without worrying that increases in household income will mean the loss of the Medicaid benefit for their children with disabilities.