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NASHVILLE -- The TennCare Standard Spend Down program will open enrollment to new applicants on Tuesday, February 22, 2011. Standard Spend Down is available through a waiver to the Medicaid program for a limited number of low income individuals, or those with high, unpaid medical bills who are aged, blind, disabled, or the caretaker relative of a Medicaid eligible child. Eligible individuals must have enough unpaid medical bills to meet the “spend down” threshold to qualify for their coverage.