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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 3 c. Target Population An individual must be in one of the target populations. d. Citizenship An individual must be a U.S. citizen, U.S. national, or eligible non-citizen. e. Enumeration An individual must possess and provide a valid Social Security Number (SSN) or proof of application for an SSN, unless he meets an exception. f. State Residence An individual must be a resident of Tennessee. g. Slot Status An individual must meet the eligibility and enrollment criteria for an ECF CHOICES benefit group, qualify in a group for which enrollment is currently open, and there must be an available slot for the individual to be enrolled. In certain instances, an individual can be enrolled outside the enrollment target for an ECF CHOICES benefit group if there is no slot available. h. Earned Income To be eligible for the ECF CHOICES Working Disabled Group, an individual must have earned income. 6. ECF CHOICES Benefit Groups Enrollment in a benefit group depends on an individual’s age, I/DD status, and medical and/or functional needs. The ECF CHOICES benefits individuals receive are based on the benefit group into which they are enrolled. The ECF CHOICES benefit groups include: a. Essential Family Supports (ECF CHOICES Group 4) ECF CHOICES Group 4 is for children under age 21 and adults age 21 and older with I/DD who live with family caregivers, meet the NF LOC or who, in the absence of HCBS, are at risk for institutionalization.