Page 10

Official source

Aged, Blind and Disabled Manual Policy Manual Number: 130.010 Section: CHOICES Chapter: Employment and Community First CHOICES August 01, 2024 Division of TennCare 10 Qualified Income Trust - N/A Net Countable Income

$ 957.50 Income Test Limit

$ 1191.00 Income Test Result PASS The above budget is current as of July 2021. Linda’s net countable income (after disregarding her earned income), $957.50, is less than the SSI-FBR for a couple. Linda has passed the second income test. She is income-eligible for the ECF CHOICES Working Disabled Group. k. ECF CHOICES Effective Date Eligibility in an ECF CHOICES demonstration group begins on the date the case is approved in the eligibility determination system based on a determination that all applicable eligibility and enrollment criteria have been met. An individual is enrolled into ECF CHOICES on the date the individual is determined eligible for and will begin receiving LTSS.

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Page 10

Official source

Aged, Blind and Disabled Manual Policy Manual Number: 130.010 Section: CHOICES Chapter: Employment and Community First CHOICES August 01, 2024 Division of TennCare 10 Qualified Income Trust - N/A Net Countable Income

$ 957.50 Income Test Limit

$ 1191.00 Income Test Result PASS The above budget is current as of July 2021. Linda’s net countable income (after disregarding her earned income), $957.50, is less than the SSI-FBR for a couple. Linda has passed the second income test. She is income-eligible for the ECF CHOICES Working Disabled Group. k. ECF CHOICES Effective Date Eligibility in an ECF CHOICES demonstration group begins on the date the case is approved in the eligibility determination system based on a determination that all applicable eligibility and enrollment criteria have been met. An individual is enrolled into ECF CHOICES on the date the individual is determined eligible for and will begin receiving LTSS.