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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 6 d. Income i. ECF CHOICES 217-Like Group and Interim ECF CHOICES At-Risk Group The individual’s gross countable income must not exceed 300% of the SSI Federal Benefit Rate (SSI-FBR). See example budget in the Institutional Medicaid policy. Parent-to-child deeming rules apply, with some exceptions, if the individual is a child under age 18. See the Parent-to-Child Deeming section in this policy and the Ineligible Parent Income Deeming section in the ABD Deeming of Income and Resources policy. ii. ECF CHOICES At-Risk Group The individual’s net countable income must be at or below 150% of the Federal Poverty Level (FPL). See the ABD Income Disregards and Expenses policy for specific disregards and expenses. Parent-to-child deeming rules apply, with some exceptions, if the individual is a child under age 18. See the Parent-to-Child Deeming section in this policy and the Ineligible Parent Income Deeming section in the ABD Deeming of Income and Resources policy. iii. ECF CHOICES Working Disabled Group There are two income tests for the ECF CHOICES Working Disabled Group. 1. For the first test, the individual’s net countable income must be at or below 250% of the FPL. See the ABD Income Disregards and Expenses policy for specific disregards and expenses. Parent-to-child deeming rules apply, with some exceptions, if the individual is a child under age 18. See the Parent-to-Child Deeming section in this policy and the Ineligible Parent Income Deeming section in the ABD Deeming of Income and Resources policy. 2. For the second test, the individual’s net countable income (including deemed income), after his earned incomed is disregarded, must be below the SSI-FBR. Parental and spousal deeming rules apply. The individual would be eligible for SSI but for his earned income. Note: If an individual’s income is over the income limit for the ECF CHOICES 217-Like, the Interim ECF CHOICES At-Risk, the ECF CHOICES At-Risk Groups, or for the first income test for the ECF CHOICES Working Disabled Group, the individual will be provided an opportunity to establish a Qualified Income Trust (QIT). See the “Qualified Income Trust (QIT) or Miller Trusts” section in the ABD Trusts policy.