Written by a parent, not a doctor. Nothing here is medical advice.

Childhood Cancer Lantern
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Federal, exists in every state

A Medicaid option you may hear called Katie Beckett

Some states let children with heavy care needs get Medicaid without counting parents’ income. Florida has a narrow Model Waiver.

What it is

Some states let children with heavy care needs get Medicaid without counting parents’ income. Florida has a narrow Model Waiver.

Florida does not offer the Katie Beckett option; its only route that leaves parents' income out is the very narrow Model Waiver, which has its own card. There is nothing to apply for under this name here.

Eligibility rules
  • The child must be under 21 and need hospital- or nursing-facility-level care.
  • The Model Waiver disregards parental income; this is not a general cancer-only exemption.
What you get
  • Medicaid and approved home supports for children who meet the Model Waiver’s narrow rules.
Coverage and limits
  • Home supports can include respite, home adaptations and transition case management.
  • AHCA and 2026 legislative materials describe 20 places: the original five-person cohort plus 15 medically fragile transition places. AHCA or CMAT confirms the current authorized period, funded openings and waiting-list process. Four enrollees on January 1, 2026 do not establish how many places are available.
If you decide to apply
  1. Ask the hospital’s enrollment specialist whether a referral to the Children’s Multidisciplinary Assessment Team fits your child’s care history.

CMS clinical eligibility unit, 855-901-5390; ask for the appropriate CMAT assessment contact · Official page ↗

If you decide to apply
  • The assessment team reviews care needs; DCF decides financial eligibility.
  • The hospital social worker can ask the CMS clinical eligibility unit for the current assessment contact. This general referral number is not a dedicated Model Waiver intake line.
Good to know

A hospital admission is not the same as 60 days in a skilled nursing facility.

Other details
  • The iBudget waiver requires a developmental disability; cancer alone does not establish eligibility.
Official sources
Ask your social worker

“If someone mentions Katie Beckett, does Florida’s Model Waiver actually fit our child’s care history? What would a review involve?”

Why I’m asking: I want to understand whether the narrow Florida waiver fits before gathering another application.

More background and detailed requirements
Additional program information and published rules

Who does what

The three parts, side by side. The agency decides; nobody on this page does.

You

Ask for the application paperwork this week, gather the child's own account balances, and get it filed within two weeks with fresh signatures.

Your social worker

Gets the application paperwork, sends the level-of-care form to the right clinician, and checks the signatures are current when it goes in.

The care team

Writes the level-of-care description: every daily task, how often, and what happens without it.

Who decides
The state Medicaid agency's disability review
Ask your social worker
“Can you help me apply for Katie Beckett (TEFRA)? Who on the team writes the level-of-care application paperwork, and how soon can it go in?”

How to apply

First step: Ask the social worker for the state's Katie Beckett application paperwork this week and who on the team writes the level-of-care section.

  1. Get the state packet this week.
  2. Have the clinician describe every daily task and what happens without it.
  3. File in the first two weeks. Coverage reaches back to the application month.

Where it starts: State TEFRA/Katie Beckett application

What to gather

  • Pathology report and oncologist's letter with diagnosis and relapse dates
  • The doctor's and nurse's description of daily skilled care (line care, medicines, monitoring)
  • The child's own accounts (the child's money is tested, usually at $2,000)

How long: Up to 90 days by federal rule for a disability application. File in the first two weeks so coverage reaches back to the application month.

What a yes looks like

Medicaid on the child's own record, no premium in most states, with a level-of-care end date on the letter.

What a no looks like, and the next move

“Level of care not met”: the doctor's description of daily care decides it. Ask what was missing, add the log, and appeal within the notice's period.

Watch out

  • Not every state has it. TEFRA states: AK, DC, DE, GA, ID, LA, ME, MA, MI, MN, MS, NE, NV, NH, OK, RI, SC, SD, WV, WI. Texas and California use other options. The state item explains.
  • The application paperwork expires: signatures usually have to be recent when it reaches the reviewer. Do not let it sit at the clinic.
  • A child on maintenance can be re-reviewed at the next level-of-care date. Ask when that date is.

The numbers and the rules

The arcane layer, kept on purpose. Checked September 7, 2026.

What it is worth

Full Medicaid on the child's own record, usually with no premium, regardless of parents' income.

Covers: Full state Medicaid benefits · EPSDT home nursing and equipment once enrolled

Legal protection: The test is disjunctive: hospital, nursing facility or ICF level of care. Any one suffices

What it costs the family: No premium in most states. Nevada charges by income.

The eligibility facts, as published

State option required
yes
Child at home
yes
Parental income
not counted
Child resource limit
usually $2,000
Level of care
hospital, nursing facility or ICF/IID; any one
Disability
SSI medical standard where applicable: documented acute leukemia meets listing 113.06A for at least 24 months from diagnosis or relapse, or at least 12 months after transplant, whichever is later; the agency still verifies evidence

Decisions this site cannot make: Disability · Institutional level of care · Cost-effectiveness (some states)

Expect friction on: Detailed medical packet with recent signatures · Re-review at the level-of-care date

The trap: The level-of-care test is separate from the disability test: the child must need the care of a hospital, a nursing facility, or an intermediate-care facility, any one of them. The doctor's description of daily care decides it, not the diagnosis.

What changes by state: Whether it exists, the name (Georgia calls it the Deeming Waiver), the premium (none in most. Nevada charges), the level-of-care form and how long a letter is valid.

Where I read this

← Back to your options