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Aged, Blind and Disabled Manual Policy Manual Number: 115.020 Section: Categories of Eligibility Chapter: Pickle Passalong

January 05, 2026 Division of TennCare 4

d. Resource Limit Resource limits for this category are $2,000 for an individual and $3,000 for a couple. 5. Budget Mrs. Stone was an SSI and OASDI benefit recipient until October 2013, when her SSI eligibility ended due to an OASDI COLA. She and her husband live together with no children. Mr. Stone is ineligible for SSI or TennCare Medicaid, and $290 of his OASDI benefits and $650 of his earned income is deemed available to Mrs. Stone. Mrs. Stone has $155 in monthly earned income and $600 in OASDI benefits. She applies for medical assistance on August 1, 2025.

The COLA disregard for Mrs. Stone’s Income Budget Calculation will use her SSI non-pay date. This means the October 2013 conversion factor of 0.734 will be used to determine how much can be disregarded from both Mrs. and Mr. Stone’s Social Security income. Her COLA disregard is $159.60, and his COLA disregard is $77.14, which means Mrs. Stone’s total COLA disregard will be $236.74 in her Income Budget Calculation. Mrs. Stone’s net countable income of $1,003.26 is less than the current SSI-FBR for a household of 2, $1,450. So, she is income eligible for the Pickle Passalong category.

Income Budget Calculation

Unearned Income $ 600.00 Irregular Unearned Income Disregard - $ 0.00 In-Kind Support and Maintenance + $ 0.00 Ineligible Spouse’s Deemed Unearned Income + $ 290.00 Ineligible Parent’s Deemed Income + $ 0.00 General Deduction ($20) - $ 20.00 Child Support Disregard - $ 0.00 Widow/Widower Entitlement Disregard - N/A DAC Entitlement Disregard - N/A COLA Disregard - $ 236.74 Total Net Unearned Income = $ 633.26 Self-Employment Income

$ 0.00 Earned Income + $ 155.00 Irregular Earned Income Disregard - $ 0.00 Student Earned Income Exclusion - $ 0.00 Ineligible Spouse’s Deemed Earned Income + $ 650.00 Remaining General Deduction - $ 0.00 Earned Income Deduction - $ 65.00 Impairment Related Work Expense - $ 0.00 ½ Deduction - $ 370.00 Blind Work Expense - $ 0.00 Total Net Earned Income = $ 370.00