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Aged, Blind and Disabled Manual Policy Manual Number: 115.035 Section: Categories of Eligibility Chapter: Katie Beckett

January 5, 2026 Division of TennCare 2 3. Non-Financial Eligibility Requirements Children eligible in a Katie Beckett group must meet all non-financial eligibility requirements.

a. Age: A child must be under age 18. Children enrolled in Katie Beckett Part A or the Katie Beckett Continued Eligibility Group may remain enrolled for up to 12 months following their 18th birthday if they have a pending application for SSI or their SSI application is in appeal status.

b. Level of Care (LOC): A child must be determined by the Long-Term Services and Supports (LTSS) Unit to qualify for the following LOC:

i. Katie Beckett Part A: Care in a medical institution ii. Katie Beckett Part B: Care in a medical institution or at risk of institutional placement. iii. Continued Eligibility Group: Care in a medical institution.

c. Citizenship: A child must be a U.S. citizen, U.S. national, or eligible non-citizen.

d. Enumeration: A child must possess and provide a valid Social Security Number (SSN) or proof of application for an SSN, unless they meet an exception.

e. State Residence: A child must be a resident of Tennessee.

f. TennCare Medicaid Eligibility: A child must be ineligible for any other TennCare Medicaid or TennCare Standard category.

g. Private or Employer-Sponsored Insurance: For Katie Beckett Part A, a child must be enrolled in or obtain private or employer-sponsored insurance that provides minimum essential coverage, in accordance with 45 CFR 156.110(a). Private or employer-sponsored insurance may also be referred to as Third Party Liability (TPL).

h. Slot Status: Children must be granted a slot in order to be enrolled in Katie Beckett Part A or Katie Beckett Part B.

4. Requirement to Purchase and Maintain Health Insurance Parents must obtain private or employer-sponsored insurance for children who do not have insurance upon enrollment in Katie Beckett Part A. Children who do not have private or employer-sponsored insurance and are enrolled in Katie Beckett Part A before October 1st of the current year will have until February 15th of the next year to be enrolled in and submit proof of insurance. Children who do not have private or employer-sponsored insurance and are enrolled in Katie Beckett Part A after October 1st of the current year will have until February 15th of the year following the next year to be enrolled in and submit proof of insurance.