Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) recovery program allows MO HealthNet to recover medical expenditures from the MO HealthNet participants.

TEFRA liens are placed on property owned by participants, older than fifty-five (55) years of age and who have been identified as being permanently institutionalized in a nursing home. The lien can be released if the participant is no longer in a nursing home. MHD files a lien with the Recorder of Deeds in the appropriate county. The lien is to be paid upon the death of the participant or sale of the property.

If you have any questions regarding the TEFRA lien process, please contact the MO HealthNet Division, Third Party Cost Recovery Unit at (573)751-2005.