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Aged, Blind and Disabled Manual Policy Manual Number: 100.030 Section: Non-Financial Eligibility Requirements Chapter: ABD Death

May 1, 2025 Division of TennCare 1

ABD DEATH Legal Authority: 42 CFR 435.919; 42 CFR 431.213 1. Policy Statement Eligibility for TennCare Medicaid will be terminated once an enrollee’s death has been verified. Advance notice of action is not required if TennCare has factual information confirming the death of a beneficiary. 2. Verification a. Notification of Death from the Enrollee’s Family or Representative If an enrollee’s family member or representative reports an unverified date of death, then verification of the death must be obtained. Verification can be obtained electronically by staff through Vital Statistics Inquiry. When TennCare is unable to verify a date of death electronically, a hard copy of the obituary or death certificate, or a statement from a funeral home or medical provider is considered acceptable verification. b. Notification of Death Through an Electronic Interface TennCare accepts a date of death received electronically from Vital Statistics and such date will be applied systematically without requiring any additional verification. If the State receives a date of death through the State Verification and Exchange System (SVES) or State On-Line Query Inquiry (SOLQi), additional verification of death must be obtained. Additional verification can be obtained electronically through Vital Statistics Inquiry. When additional verification is not available through Vital Statistics Inquiry, a hard copy of the obituary or death certificate or a statement from a funeral home or medical provider may be used as verification of death.