Arkansas' Tax Equity and Fiscal Responsibility Act (TEFRA-like) extension request

On June 30, 2022, Arkansas submitted an extension application for the Arkansas TEFRA-like demonstration. The current demonstration expires on 12/31/2022. The state is seeking a five year extension of all the existing demonstration authorities. The demonstration provides services to disabled children eligible for Medicaid under section 134 of the Tax Equity and Fiscal Responsibility Act (TEFRA). TEFRA, also known Katie Beckett, is an optional Medicaid category of coverage that allows children with disabilities, whose family income is too high to qualify for Medicaid, to gain Medicaid eligibility based on the income and resources of the child. These TEFRA children receive medical care in home-based settings rather than in institutions (which was a requirement for these children to become Medicaid eligible before enactment of the "Katie Beckett waiver" under the Tax Equity and Fiscal Responsibility Act (TEFRA)). The federal public comment period will be open from July 14, 2022 through August 13, 2022.

 

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