In order to determine level of care for TEFRA children:

• (1) The child must be age 18 years or younger and expected to meet the following criteria for at least 30 days.
  • (A) Applicants under age three must:
    • (i) have a diagnosis of a developmental disability; and
    • (ii) have been evaluated by the SoonerStart Early Intervention Program and found to have severe dysfunctional deficiencies with findings of at least two standard deviations in at least two developmental areas.
  • (B) Applicants age three years and older must:
    • (i) have a diagnosis of mental retardation or a developmental disability; and
    • (ii) have received a psychological evaluation by a licensed psychologist or school psychologist certified by the Oklahoma Department of Education (ODE) within the last 12 months.  The evaluation must include intelligence testing that yields a full-scale intelligence quotient, and a full-scale functional or adaptive assessment that yields a composite functional age.  Eligibility for TEFRA ICF/MR level of institutional care requires an IQ of 75 or less, and a full-scale functional assessment (Vineland or Battelle) indicating a functional age composite that does not exceed 50% of the child's chronological age.  In no case shall eligibility be granted for a functional age greater than eight years.
• (2) Psychological evaluations required for children who are approved for TEFRA under ICF/MR level of care. Children under age six will be required to undergo a full psychological evaluation, including both intelligence testing and adaptive/functional assessment, by a licensed psychologist or school psychologist certified by the ODE, at age three and again at age six to ascertain continued eligibility for TEFRA under the ICF/MR level of institutional care.  The psychological evaluation must be completed and submitted to the LOCEU no later than 90 days following the child's third and sixth birthday.