Application
Application for the TEFRA benefit is made by completing the TEFRA Financial Application and Voter Registration Form
TEFRA Financial and Voter Registration Form
It is preferred that an applicant be referred to tefrafax@okhca.org or phone number at 405-522-7752 and an application packet will be sent to them. If the family has supporting documentation, in additional to the applications, they can submit it at the same time.
The TEFRA Packet sent to the family includes:
- Parent’s Guide to TEFRA
- TEFRA Checklist
- Tips for Physician’s Detailed Medical Statement
- Information from OHCA (Oklahoma Health Care Authority) about TEFRA.
Additional forms needed are:
Microsoft Word – TEFRA.docx (Oklahoma.gov)
Microsoft Word – TEFRA 2 – Spanish Version.docx (Oklahoma.gov)
The family can mail their TEFRA Financial Application and supporting documents by:
Email: tefrafax@okhca.org
Fax: 405-530-3312
Or Mail:
OHCA-TEFRA
4345 N. Lincoln Blvd.
Oklahoma City, OK 73105
Comments or Suggestions?
We want Quest to be your source for important information that you need to succeed at in your work but we need your help:
Was this article helpful? Was it missing something you needed to get the job done?
Tell us what you think, what you know about this article. What are we doing well, and what we could do better.
All fields are required.