This article is a section taken from MA under the TEFRA Option, a part of the revisions and additions to the Minnesota Health Care Program Eligibility Policy Manual.
TEFRA Financial Eligibility
Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA for Families with Children and Adults (MA-FCA) income limit. The TEFRA option for children with a disability is named after the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 that created the option.
This subchapter includes financial eligibility requirements. Financial eligibility requirements involve a person’s income or assets.
In general, MA under the TEFRA option follows the MA for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD) financial eligibility policies. Specific differences are indicated below.
This subchapter includes policies that apply to MA under the TEFRA option and links to policies that apply to all MA programs, MA-ABD, and all Minnesota Health Care Programs (MHCP).
MA under the TEFRA Option Assets
There is no asset limit for children younger than 21.
MA under the TEFRA Option Household Composition
The household size is one, only the child.
MA under the TEFRA Option Income
Income eligibility is determined based only on the child’s income. If a child has income above 100% FPG, they may be eligible with a medical spenddown. See the MA-ABD Medical Spenddown policy for more information
MA under the TEFRA Option Financial Eligibility
The MA-ABD income policies are used to determine the child’s income eligibility. See MA-ABD Income section for more information.
Code of Federal Regulations, title 42, section 1396A, subdivision e
The Tax Equity and Fiscal Responsibility Act (TEFRA), Public Law 97-248, section 134
CREDIT: The content of this post has been copied or adopted from the Minnesota Healthcare Programs Eligibility Policy Manual, originally published by the Minnesota Department of Human Services.
This is also part of a series of posts on Minnesota Healthcare Eligibility Policies.