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Aged, Blind and Disabled Manual Section: Financial Eligibility Requirements Policy Manual Number: 110.040 Chapter: ABD Deeming of Income and Resources

August 1, 2025 Division of TennCare 2

f. 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. g. Ineligible Child: A child living in the home of an applicant who is not being reviewed for an ABD COE. An ineligible child: i. Is not eligible for Medicare (for MSP eligibility determinations); ii. Is not institutionalized (for Institutional Medicaid eligibility determinations); and iii. Does not meet SSI-Related COE criteria (for Disabled Adult Child, Widow/Widower or Pickle Passalong eligibility determinations). h. Ineligible Parent: A parent living in the home of an eligible child whose resources and income may be/are deemed to the eligible child. An ineligible parent: i. Is not eligible for Medicare (for MSP eligibility determinations); ii. Is not institutionalized (for Institutional Medicaid eligibility determinations); and iii. Does not meet SSI-Related COE criteria (for Disabled Adult Child, Widow/Widower or Pickle Passalong eligibility determinations). i. Ineligible Spouse: A spouse living in the home of an eligible spouse whose resources and income may be/are deemed to the eligible spouse. An ineligible spouse: i. Is not institutionalized (for Institutional Medicaid eligibility determinations); and ii. Does not meet SSI-Related COE criteria (for Disabled Adult Child, Widow/Widower or Pickle Passalong eligibility determinations). j. Parent: Parent as related to this policy includes natural and adoptive 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. k. 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; iii. Refugee Act of 1980 payments based on need; iv. Disaster Relief and Emergency Assistance Act benefits;