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Families and Children Manual Policy Manual Number: 010.015 Section: Financial Eligibility Chapter: Eligibility Determination Group for MAGI

May 1, 2026 Division of TennCare 5 9. Eligibility Determination Group Procedures When determining household size, an EDG must be constructed for each applicant in the household. The applicant’s EDG is based on the tax filing status of the applicant. a. Does the applicant expect to file taxes? i. If No – Continue to 9.b. ii. If Yes – Does the applicant expect to be claimed as a tax dependent by another person? 1. If No – The EDG is the same as the tax filer. 2. If Yes – Does the applicant meet any of the tax dependent exceptions listed in 4.e.? a. If No – The applicant’s EDG is the same as the tax filer. b. If Yes – The applicant’s EDG is based on non-filer rules. b. Does the applicant expect to be claimed as a tax dependent? i. If No – The applicant’s EDG is based on non-filer rules. ii. If Yes – Does the applicant meet any of the tax dependent exceptions listed in 4.e.? 1. If No – The applicant’s EDG is the same as the tax filer. 2. If Yes – The applicant’s EDG is based on non-filer rules. 10. Eligibility Determination Group Examples a. Mary’s Family Mary (35), Mary’s son Jeff (15) and Mary’s daughter Kayla (12) live in the household. Mary claims all as tax dependents. i. Mary’s EDG Does Mary expect to file taxes? Yes Does Mary expect to be claimed as a tax dependent? No Mary’s EDG is her tax household: Mary, Jeff and Kayla (EDG= 3) ii. Jeff’s EDG Does Jeff expect to file taxes? No Does Jeff expect to be claimed as a tax dependent? Yes Does Jeff meet any of the tax dependent exceptions? No Jeff’s EDG is same as the tax filer who claims him as a dependent: Mary, Jeff and Kayla (EDG= 3)