TEFRA Application and Criteria

1. The Initial Step: Check ABD Eligibility

Before a family can be considered for TEFRA, you must first process a standard medical application.

Process the Application: Complete the initial application (online, phone, or in person).
If Ineligible: If the child does not qualify for regular ABD Medical, deny the application in FACS using the appropriate reason code.
The Referral: Once denied for ABD, you can then refer the family to the TEFRA process.

2. How the Family Applies for TEFRA

TEFRA is not processed like a standard case. The family must complete a specific TEFRA Financial Application and Voter Registration Form.

How to get a packet: Advise the family to request a TEFRA packet by:
- Email: tefrafax@okhca.org
- Phone: 405-522-7752
What’s inside the packet:
- Parent’s Guide to TEFRA and a Checklist.
- Tips for the Physician’s Detailed Medical Statement.
- Information from the Oklahoma Health Care Authority (OHCA).
- Identity Affidavit (08MA006E).

3. Submitting the Application

The family should submit their completed financial application along with any supporting medical documentation directly to OHCA.

Submission Methods:

Summary:

Step	Action
1. Screen	Process regular ABD Medical application first.
2. Deny	If they don’t qualify for ABD, deny the case in FACS.
3. Refer	Give the family the TEFRA phone number or email address.
4. Submit	The family sends the TEFRA packet directly to OHCA, not to your local office.

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