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Administrative Manual Section: General Administrative Procedures and Compliance Policy Manual Number: 200.030 Chapter: The Application Process
May 1, 2024
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Assistance is available for all applicants and enrollees. All assistance provided will be in a manner that is accessible to individuals that are LEP and individuals with disabilities. An individual may choose to have someone help him with the application process or renewal. 17. Automatic Medicaid Eligibility Based on Eligibility in Other Programs Individuals are not required to file a separate application when determined eligible for Supplemental Security Income (SSI). TennCare receives notice of SSI eligibility via an electronic file from the Social Security Administration (SSA) and automatically enrolls SSI recipients. 18. Medicare Part D: Low Income Subsidy
The Medicare Modernization Act (MMA) of 2003 established a new voluntary Part D Prescription Drug Program. The Centers for Medicare and Medicaid Services (CMS) has overall responsibility for the drug program, and the SSA is required to take applications and determine eligibility for the Low Income Subsidy (LIS) program, which provides Medicare drug payment assistance for low-income individuals. Those who are deemed eligible are automatically eligible for LIS and do not need to apply. SSI recipients, and QMB, SLMB and QI1 recipients are considered “deemed” eligible. Here are ways an individual can apply for the LIS program:
a. Apply online at SSA website: http://www.ssa.gov/; b. Call the SSA at 1-800-772-1213 or (TTY 1-800-325-0778); c. Visit the local SSA field office; or
Eligibility for LIS will be determined by SSA. SSA will mail notification of eligibility (eligible or ineligible). If determined to be ineligible, the individual can file an appeal with SSA. SSA also sends TennCare electronic files on LIS applicants that are required to be processed by TennCare as an application for a Medicare Savings Program.
19. Katie Beckett
The Katie Beckett program provides medical assistance to children under age 18 with disabilities or complex medical needs who live at home and do not otherwise qualify for Medicaid due to their parents’ income or resources. To apply for Katie Beckett, members must submit an online application.