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Aged, Blind and Disabled Manual Policy Manual Number: 110.010 Section: Financial Eligibility Requirements Chapter: ABD Eligibility Determination Group October 1, 2020 Division of TennCare 2 d. Holding Out Spouse A holding out relationship exists when an unrelated man and woman present themselves to the community as husband and wife in the absence of a legal marriage. The concept of a holding out relationship does not apply to the MSPs or Institutional Medicaid COEs. e. Ineligible Parent/Spouse A parent or spouse who is not eligible or potentially eligible for the COE for which the applicant is being considered. f. Parent Parent as related to this policy includes natural and adopted parents. A parent is a natural, adoptive or, in certain situations, a stepparent. A stepparent is not included in the deeming budget if any of the following circumstances apply: i. The natural or adoptive parent to whom the individual was married has died; ii. The natural or adoptive parent and the individual are divorced; or iii. The natural or adoptive parent and the stepparent’s marriage has been annulled. g. Public Income-Maintenance Payments Income provided based on a determination of need by the federal, a state, or local government. Public income-maintenance payments include: i. Temporary Assistance for Needy Families (TANF); ii. Supplemental Security Income (SSI); iii. Refugee Act of 1980 payments based on need; iv. Disaster Relief and Emergency Assistance Act benefits; v. General assistance programs of the Bureau of Indian Affairs; vi. U.S. Department of Veterans Affairs payments based on need; and vii. State or local government assistance programs based on need. h. SSI-Related SSI-Related includes the following TennCare Medicaid COEs: i. Pickle Passalong; ii. Disabled Adult Child (DAC); and iii. Widow/Widower. i. Spouse A spouse is: i. An individual’s legally married spouse; ii. An individual determined by the Social Security Administration (SSA) as eligible to receive Social Security benefits as the spouse of another; or iii. An individual’s holding out spouse for SSI-Related COE only.