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Aged, Blind and Disabled Manual Policy Manual Number: 120.015 Section: Medicare Savings Programs Chapter: Specified Low Income Medicare Beneficiary

January 5, 2026 Division of TennCare 2 b. Age If an applicant is eligible on the basis of age, then she must be age 65 or older. There is no age limit for individuals who are eligible on the basis of disability.

c. Citizenship Individuals must be U.S. citizens, U.S. nationals or eligible non-citizens. Individuals are not required to provide documentary evidence of citizenship or national status if they are entitled to or enrolled in any part of Medicare.

d. Enumeration Individuals must possess and provide a valid SSN or proof of application for an SSN, unless they meet an exception.

e. State Residence Individuals in this category must be residents of Tennessee. 6. Financial Eligibility Requirements a. Eligibility Determination Group The Eligibility Determination Group (EDG) is governed by the principle of Financially Responsible Relatives (FRR) and the applicant/enrollee’s living arrangements. See the ABD Eligibility Determination Group policy.

b. Income Limit The income limit for receiving benefits in this category is less than 120% FPL for an individual or couple.

c. Resource Limit The resource limit for receiving benefits in this category is: i. $9,950 for an individual; or ii. $14,910 for a couple. d. Cost-of-Living Adjustment (COLA) Deduction The Social Security Administration (SSA) is responsible for applying COLA to its benefit programs, including Old-Age, Survivors, and Disability Insurance (OASDI), Railroad Retirement Benefits (RRB) and Supplemental Security Income (SSI). If the SSA applies a COLA for a given year, it is applied on January 1st of that year. However, the annual update for FPLs is not typically