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Aged, Blind and Disabled Manual Section: Financial Eligibility Requirements Policy Manual Number: 110.020 Chapter: ABD Financially Responsible Relatives ABD Legal Authority: 20 CFR 416.1160 – 20 CFR 416.1165; 20 CFR 416.1202 – 20 CFR 416.1204; 42 CFR 435.601; TennCare 1115 Demonstration Waiver, Amendment 27; TCA Title 36 1. Policy Statement A family member’s financial responsibility for an applicant/enrollee’s basic needs of food and shelter is recognized when determining eligibility for TennCare Medicaid. The following are considered Financially Responsible Relatives (FRRs) for the purpose of TennCare Medicaid: • A spouse is financially responsible for his or her spouse; and • A parent is financially responsible for his or her child(ren). The income and resources of the applicant/enrollee’s FRR are considered part of the applicant/enrollee’s available countable assets. Income and resources belonging to a FRR who receives Families First or SSI benefits are not deemed available to the applicant/enrollee. 2. Defined Terms Deeming: The term deeming identifies the process of considering another person’s income and resources to be available for meeting a TennCare Medicaid applicant/enrollee’s basic needs of food and shelter. Child: Child as related to this policy includes individuals: • Not married; and • Not the head of a household; and • Under 18 years of age or under 22 years of age if a student regularly attending school. 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 categories. Ineligible Spouse: A spouse who is not eligible for an Aged, Blind and Disabled TennCare Medicaid category.