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Aged, Blind, and Disabled Manual Policy Manual Number: 115.015 Section: Categories of Eligibility Chapter: Institutional Medicaid

January 5, 2026 Division of TennCare 7 Version History Revision Date Section Section Title Page Number(s) Reason for Revision Reviser 04.17.201

Publication

07.01.2016 1.; 4.c.iii. Policy Statement; Budgeting Process Based On Household Composition 1; 4 Policy Clarification LW 12.01.2016 2.c.; 4.d.i.a. Disabled; Total Gross Unearned Income Computation 1; 4 Policy Clarification RS 01.05.2017 4.c.i.; 4.d.i.c. General Rule; Countable Income Computation 3; 4 Non-Substantive Change RH 06.01.2017 2.c. Disabled 1 Policy Clarification RS 06.01.2017 3.a. Age 2 Non-Substantive Change RS 03.18.2019 1.; 2.c.; 4.c.iii; 4.d.; 4.e. Policy Statement; Disabled; Budgeting Process, Based on Eligibility Determination Group; Income Budget; Example Budget 1-5 Non-Substantive Change ME 03.18.2019 4.a. Eligibility Determination Group (EDG) 2 Policy Clarification ME 05.01.2019 4.c.ii; 4.e. Legal Authority; MIC; Example Budget 1-5 Policy Clarification TN 05.01.2020 4.c.ii. MIC 3 Policy Clarification TN 05.01.2020 1; 2.c. Legal Authority; Policy Statement; Disabled 1 Policy Change TB 01.04.2021 4.c.ii. MIC 3 Policy Clarification TN 01.04.2022 4.c.ii. MIC 3 Policy Clarification SA 06.01.2022 2.c. Disabled 1 Policy Clarification AJ 09.01.2022 4.c.iii.3. Individual is a Dependent Child and Lives with Parents (Prior to Institutionalization or Application for HCBS) 4 Policy Change AJ 09.01.2022 4.c.iv.; 4.e. 250% FPL Disregard; Example Budget 4 Policy Change AJ 01.03.2023 4.c.ii. MIC 3 Non-Substantive Change KF 01.02.2024 4.c.ii. MIC 3 Non-Substantive Change CE