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 977 children enrolled in TEFRA as of June 20220,;  The program served 1,047 children in FY 2021 and 1,766 children since its inception in 2005. The state spent $15.2 million on the TEFRA population in SFY 2021 at an average annual cost of $16,054 per enrollee.