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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 4 6. Example Budget Susie Smith, an eight-year old, lives in the household with her mom, stepdad, and two siblings. Susie is disabled but does not qualify for SSI due to her family’s income and resources. The household is over the income limit for all Medicaid categories and does not have enough medical bills to meet a spenddown. Susie receives $300 month in child support and has no resources. She is covered under her father’s insurance at work.

Income Budget Calculation

Unearned Income $ 300.00 Irregular Unearned Income Disregard + N/A In-Kind Support and Maintenance + N/A Ineligible Spouse’s Deemed Unearned Income + N/A Ineligible Parent’s Deemed Income + N/A General Deduction ($20) - N/A Child Support Disregard - N/A Widow/Widower Entitlement Disregard - N/A DAC Entitlement Disregard - N/A COLA Disregard - N/A Total Net Unearned Income = $ 300.00 Self-Employment Income

$ 0.00 Earned Income + $ 0.00 Irregular Earned Income Disregard - N/A Student Earned Income Exclusion - N/A Ineligible Spouse’s Deemed Earned Income + N/A Remaining General Deduction - N/A Earned Income Deduction - N/A Impairment Related Work Expense - N/A ½ Deduction - N/A Blind Work Expense - N/A Total Net Earned Income = $ 0.00 Total Countable Income (Total Net Unearned Income + Total Net Earned Income) = $ 300.00 Qualified Income Trust - N/A Net Countable Income

$ 300.00 Income Test Limit

$ 2,349.00 Income Test Result PASS

The above budget is current as of January 2020.

Susie meets nursing facility LOC and has been granted a Katie Beckett Part A slot. Susie is eligible for Katie Beckett Part A.