Under Section 134 of the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), states have the option to make Medicaid benefits available to children with physical or mental disabilities, regardless of family income, and allows children requiring institutional level of services to be cared for in their homes.
There were 1,019 children enrolled in TEFRA as of June 2023.  The program served a total of 1,177 children throughout all of FY 2023 and 1,957 children since its inception in 2005. The state spent $16.4 million on the TEFRA population in SFY 2022 at an average annual cost of $15,715 per enrollee.