Parental fees for children on Medical Assistance
Parents of children who have a disability may have to pay a monthly fee, called a parental fee.
Effective July 1, 2023, parents are no longer assessed a parental fee for children enrolled in MA under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) option or for children receiving home and community-based services (HCBS) waivers. To understand how these changes may impact your family, see these commonly asked questions.
Parental fees may still be assessed for children who have a developmental disability, or a physical disability or emotional disturbance in 24-hour care outside the home. This includes the following:
- Medical facility such as a nursing home or an intermediate care facility for a person with a developmental disability
- State-operated psychiatric hospital for children
- Psychiatric residential treatment facility