Part 1: Medicaid

A person with a disability may be eligible for Medicaid if they fall within any of the following groups of people: For a complete list of eligibility for Medicaid, please visit the SCDHHS website.

• Aged, Blind or Disabled (ABD)
• Disabled Children (“Katie Beckett” or TEFRA)
• Former Foster Care (Up to Age 26)
• Individuals in Nursing Facilities and/or Receiving Home and Community-Based Waiver Services
• Parent/Caretaker Relatives
• Qualified Medicare Beneficiaries*
• Working Disabled

*Limited benefits programs

In some cases, children aged 18 and under with disabilities can get full Medicaid coverage regardless of family income. This program is called TEFRA and is also known as Katie Beckett. To qualify for TEFRA, a child must:

• Have a family income too high to qualify for Medicaid
• Have a medical, mental, or emotional health need as defined by the childhood listing of impairments on the Social Security website
• Require a high level of care, also called an institutional level of care, like what is needed to live in special homes for those with intellectual disabilities, nursing facilities, or hospitals