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MA under the TEFRA option parent fees ending

Starting on July 1, 2023, a new Minnesota law eliminates parent fees for parents whose children are enrolled in Medical Assistance (MA) under the Tax Equity and Fiscal Responsibility Act (TEFRA) option or accessing Home and Community Based Services (HCBS) through a waiver program. 

Parents are not required to pay a parental fee for children who receive services through these HCBS waiver programs: 

  • Brain Injury (BI) 
  • Community Alternative Care (CAC) 
  • Community Access for Disability Inclusion (CADI) 
  • Developmental Disabilities (DD) 

Fees may still be assessed for children placed in a regional treatment center when MA pays the cost of care and children in 24-hour out-of-home placement. 


Services prior to July 1 

Any parental fees related to your child’s disability services prior to July 1, 2023 will still need to be paid. The final fees you owe are being calculated now. You may receive paperwork requesting tax information needed to determine your fee. 


Recurring payments 

If you use a recurring payment option, you will need to go to the Minnesota Department of Human Services web payments page and stop your recurring payments. You can do this by selecting “click here to stop an existing recurring payment.”  

If you set up a recurring payment through your bank, you will need to contact your bank to end the payment. 

If you have questions, contact the Parental Fee Unit at 651-431-3806 or 800-657-3751. 


No eligibility requirement changes 

There are no changes to MA under the TEFRA option eligibility requirements or HCBS waiver eligibility requirements. The only change to the application process is the Supplement to MNsure Application for Health Coverage and Help Paying Costs (DHS-6696A) is no longer needed to determine eligibility. 


The Hub can help

Visit the Disability Hub MN’s MA under the TEFRA option Top Topic for additional information. You can always contact the Hub – our experts are here to help you get answers to your questions!

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