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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 7 e. LTSS Payments All other provisions related to payment of TennCare Medicaid LTSS payments apply (e.g., patient liability, transfer of assets, home equity limit, etc.). See the Post-Eligibility Treatment of Income, Transfer of Assets and Penalty Periods, and ABD Countable and Excluded Resources policies for more information.

j. Example Budget a. ECF CHOICES At-Risk Group Stephen Miller, a 17-year-old with I/DD, is applying for ECF CHOICES. He is determined eligible for an At-Risk LOC, and there is currently an available slot in an ECF CHOICES benefit group that Stephen can be enrolled in. He lives at home with his mother and younger sister. Stephen works part-time and receives $400 a month in earned income. His sister does not have any income. Stephen’s mother receives $3,500 a month in earned income, of which $715 is deemed to Stephen. Income Budget Calculation

Unearned Income $ 0.00 Irregular Unearned Income Disregard + $ 0.00 In-Kind Support and Maintenance + N/A Ineligible Spouse’s Deemed Unearned Income + 0.00 Ineligible Parent’s Deemed Income + 715.00 General Deduction ($20) - 20.00 Child Support Disregard - 0.00 Widow/Widower Entitlement Disregard - N/A DAC Entitlement Disregard - N/A COLA Disregard - N/A Total Net Unearned Income = $ 695.00 Self-Employment Income

$ 0.00 Earned Income + $ 400.00 Irregular Earned Income Disregard - 0.00 Student Earned Income Exclusion - 0.00 Ineligible Spouse’s Deemed Earned Income + 0.00 Remaining General Deduction - 0.00 Earned Income Deduction - 65.00 Impairment Related Work Expense - N/A ½ Deduction - 167.50 Blind Work Expense - 0.00