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TEFRA/Katie Beckett and Required Forms

These forms are for informational purposes only. The criteria should only be interpreted by medical personnel.  If you need to fill out these forms, you must file your application at your local DFCS office.

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TEFRA Katie Beckett Parent Letter

Pediatric DMA 6(A)

Instructions for Completing Form DMA

Care Plan

Care Plan Instructions

 Deeming Waiver Manual - Updated 7/20/06

 Hospital Level Of Care

Intermediate Care Facility (ICF/MR) Level Of Care - Updated 4/25/06

 Nursing Facility Level Of Care - Updated 2/19/06

TEFRA/Katie Beckett Tutorials

Fact Sheet