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Alaska Medicaid — TEFRA

The Tax Equity and Fiscal Responsibility Act of 1982, known as Alaska Medicaid — TEFRA, is a program for children under 19 years old with disabilities and significant medical, developmental or psychiatric needs. The program’s specialized requirements allow some children who would not typically qualify for Medicaid because of family income to receive specific Medicaid benefits.

Eligibility Requirements

  • Children must meet the medical, developmental or psychiatric condition that fits the Supplemental Security Income definition of disability. 
  • Only childrens’ personal income and resources are used when determining eligibility ― not their parents’.
  • Not all children who are determined disabled or have high medical costs qualify for this program.

Comagine Health’s Role

Comagine Health is contracted by the State of Alaska, Department of Health and Social Services, Division of Public Assistance (DPA) to review applications for the Alaska Medicaid — TEFRA program.

  • We help determine if a child meets the program’s medical, developmental or psychiatric requirements.
  • We provide administrative management and oversight throughout the application process.
  • We assist participants with completing the application process.
  • We review documentation for level of care determination.
  • We provide physician support and consultation.

March 19, 2020: COVID-19 and Business Continuity

During the current COVID-19 emergency, Comagine Health is fully staffed and business operations are not interrupted.

For utilization review, case management and related activities, we are continuing to process requests and answer calls via our toll-free numbers during standard business hours. We have business continuity plans in place to serve our clients, health care providers, patients and communities while also protecting our staff and minimizing the spread of the illness.