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Home Care Children’s (HCC) / TEFRA Program

Home Care Children’s (HCC) / TEFRA Program

Home Care Children’s (HCC) Overview

TEFRA (Tax Equity and Fiscal Responsibility Act of 1982) also known as Home Care Children’s in Michigan, is a “Pathway to Medicaid” for children with disabilities. It gives States the option to make Medicaid benefits available to children with certain physical or mental disabilities who would not ordinarily be eligible for Supplemental Security Income (SSI) benefits because of their parent or guardian's income or resources. This is not an in home care provider program, if a child meets program requirements it is a way to obtain Medicaid coverage.

Contact Information

Val Newton, BSN, RN phone: (517) 335-8992 email: newtonv1@michigan.gov


Caitlin Conroy, MSN, PNP-AC phone: (517) 335-4210 Email: conroyc2@michigan.gov

Eligibility Requirements

To be eligible, a child must meet the following requirements:

  • Under age 18 years old, unmarried
  • Resident of the State of Michigan
  • Meet the Social Security definition of disability
  • Have qualifying income and resources
  • Meet one of the three following level of care qualifications; intermediate care for individuals with intellectual disabilities, skilled nursing facility, or hospital
  • It must be appropriate to care for the child at home
  • The estimated cost of caring for the child at home cannot exceed the estimated cost of caring for the child in the determined level of care

What to Submit:

All forms must be less than one year old to be considered for eligibility. Forms must be completed in full and submitted as PDF documents. Please submit as separate folders for any documents that are over 50 pages. All documents should be submitted at the same time. Documents are reviewed as they are received. Submitting partially completed forms, or forms separately WILL DELAY the process for determining eligibility for HCC.

How to Apply

Call your local health department or one of the above contacts for additional questions.

Packet of completed forms and documents can be submitted to your local health department, faxed to MDHHS CSHCS  RE: HCC/TEFRA at 517-335-9491 or can be mailed to:

Capital Commons
Attn: CSHCS – TEFRA
400 South Pine Street
Lansing, MI 48933

Submitting packets without all required forms completely filled out will delay processing for program eligibility.

If medically approved, a Medicaid application will be mailed to family. This should be completed as instructed and returned to the Special Processing Office. Filling out any other Medicaid application or returning the mailed application to the local MDHHS office will delay processing.

Additional information:

For families For families (Spanish)

For Local Health Departments, please see SharePoint