Home Care Children’s (HCC) / TEFRA Program

Home Care Children’s (HCC) Overview

A “Pathway to Medicaid” for children with disabilities
TEFRA (Tax Equity and Fiscal Responsibility Act of 1982) gives states the option to make Medicaid (Home Care Children's in Michigan) benefits available to children with 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 option allows children who are eligible for institutional services be cared for in their homes.

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:

• Be 18 years old or younger
• 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 completed in full and submitted together at one time. Submitting partially completed forms, or forms separately WILL DELAY the process for determining eligibility for HCC.

• Demographic form
• DHHS-49 form
  • Must be completed by a pediatric provider
• Current medical reports from specialty providers
• Current IEP/IFSP (if applicable)
• Community Mental Health Individual Plan of Service
• 24-hr plan of care
  • Completed by parent/guardian
  • List services / supplies / supports child is trying to obtain and can not
  • Optional template here