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Parents and Other Caretaker Relatives MEDICAID | Medicaid State Plan | Eligibility | TN2020MS0002O | TN-21-0010 Package Header Package ID TN2020MS0002O Submission Type Official Approval Date 3/23/2022 Superseded SPA ID TN 14-0005 System-Derived SPA ID TN-21-0010 Initial Submission Date 12/29/2021 Effective Date 10/1/2021 D. Basis for Income Standard 1. Minimum Income Standard a. The minimum income standard used for this group is the state's AFDC payment standard in effect as of May 1, 1988, converted to MAGI-equivalent amounts by household size. The standard is described in AFDC Income Standards. 2. Maximum income standard b. The state's maximum income standard for this eligibility group is: c. The amount of the maximum income standard is: b. The state certifies that it has submitted and received approval for its converted May 1, 1988 AFDC payment standard. a. The state certifies that it has submitted and received approval for its converted income standard(s) for parents and other caretaker relatives to MAGI- equivalent standards and the determination of the maximum income standard to be used for parents and other caretaker relatives under this eligibility group. i. The state's effective income level for section 1931 families under the Medicaid state plan as of March 23, 2010, converted to a MAGI-equivalent percent of FPL or amounts by household size. ii. The state's effective income level for section 1931 families under the Medicaid state plan as of December 31, 2013, converted to a MAGI-equivalent percent of FPL or amounts by household size. iii. The state's effective income level for any population of parents/caretaker relatives under a Medicaid 1115 demonstration as of March 23, 2010, converted to a MAGI-equivalent percent of FPL or amounts by household size. iv. The state's effective income level for any population of parents/caretaker relatives under a Medicaid 1115 demonstration as of December 31, 2013, converted to a MAGI-equivalent percent of FPL or amounts by household size. i. A percentage of the federal poverty level: ii. The state's AFDC payment standard in effect as of July 16, 1996, converted to a MAGI-equivalent standard. The standard is described in AFDC Income Standards. iii. The state's AFDC payment standard in effect as of July 16, 1996, increased by no more than the percentage increase in the Consumer Price Index for urban consumers (CPI-U) since such date, converted to a MAGI-equivalent standard. The standard is described in AFDC Income Standards. iv. The state's TANF payment standard, converted to a MAGI-equivalent standard. The standard is described in AFDC Income Standards. v. Other dollar amount