Page 8

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

January 5, 2026 Division of TennCare 8 08.01.2024 4.c.iv. 250% FPL Disregard 4 Non-Substantive Change BP 01.02.2025 4.c.ii. MIC 3 Non-Substantive Change CE 06.02.2025 2; 3; 5.c.1.; 5.c.iii.3 Definitions; Financial Eligibility Requirements 2; 3;4 Policy Change LW 01.05.2026 5.c.ii. MIC 4 Non-Substantive Change BP