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Aged, Blind and Disabled Manual Policy Manual Number: 130.010 Section: CHOICES Chapter: Employment and Community First CHOICES August 01, 2024 Division of TennCare 2 3. General Eligibility Requirements In order to qualify for ECF CHOICES, an individual must: a. Have been assessed and found to have an intellectual disability manifested before eighteen (18) years of age or a developmental disability manifested before twenty-two (22) years of age, as specified in Tennessee State law (Tennessee Code Annotated, Title 33-1-101); and b. Be enrolled in TennCare Medicaid as an SSI cash recipient or through one of the ECF CHOICES demonstration groups. 4. ECF CHOICES Demonstration Groups The ECF CHOICES demonstration groups are: a. ECF CHOICES 217-Like Group; b. Interim ECF CHOICES At-Risk Group; c. ECF CHOICES At-Risk Group; and d. ECF CHOICES Working Disabled Group. The Interim ECF CHOICES At-Risk Group was closed to new enrollment upon implementation of the ECF CHOICES At-Risk and ECF CHOICES Working Disabled Groups. Individuals already enrolled in the Interim Group may remain enrolled as long as they continue to meet the financial eligibility requirements, the nursing facility level of care (LOC) criteria in place on June 30, 2012, and remain continuously eligible and enrolled in the Interim ECF CHOICES At-Risk Group. 5. Non-Financial Eligibility Requirements for the Demonstration Groups a. Age There is no age requirement. b. Level of Care (LOC) An individual must be determined by the LTSS Unit to qualify for the following LOC: i. ECF CHOICES 217-Like Group: NF LOC ii. Interim ECF CHOICES At-Risk Group: At Risk LOC iii. ECF CHOICES At-Risk Group: At Risk LOC iv. ECF CHOICES Working Disabled Group: NF LOC or At Risk LOC