Washington · special-needs funding & services

Katie Beckett / TEFRA Medicaid in Washington: how to get Medicaid for your child regardless of your income

How the Katie Beckett (TEFRA) Medicaid pathway works in Washington: get Medicaid for a disabled child based on the child's income, not the parents'. Often no waitlist.

The short version: Katie Beckett (also called the TEFRA option) is a Medicaid pathway that looks only at the child's income and assets, not the parents'. That means many middle- and higher-income families whose child has a significant disability can get full Medicaid for that child, even when they earn far too much for "regular" Medicaid.

Why parents care:

Eligibility usually hinges on the child meeting a disability/"institutional level of care" standard and the child's own income/assets being under the limit. It is one of the most under-used benefits in the country; many families simply never hear about it.

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General information, not legal/financial advice. Program names, amounts, and eligibility change and vary, so always confirm with the official source linked above.

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