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Aged, Blind and Disabled Manual Policy Manual Number: 125.005 Section: Institutional Medicaid Chapter: Institutional Status November 3, 2025 Division of TennCare 11 Version History Revision Date Section Section Title Page Number(s) Reason for Revision Reviser 04.17.2015 Publication 07.01.2016 9.b.ii Employment and Community First (ECF) CHOICES 6-7 Section Addition AJ 04.01.2020 2.a.; 2.b.; 7.b.; 8.b. Legal Authority; Individuals with a Pre-Admission Evaluation (PAE); Individuals without a PAE; Tennessee IMD; Children Currently Receiving TennCare Medicaid 1-2; 5-6 Policy Clarification TN 05.01.2020 5.b-5.d LTCF; Confinement to and IMD; Enrollment in HCBS 4 Non-Substantive Change TN 05.01.2020 1; 2.a- b.; 4; 5.a Policy Statement; Continuous Confinement, Special Income Level Group; Verification of Institutional Status 1 Policy Change TB 08.01.2024 2.a.iii Continuous Confinement 1 Policy Change LW 08.01.2024 6.b.ii. Verification of Institutional Status 5 Policy Clarification LW 11.03.2025 1.a; 1.c; 3.a; 10.b.i.1 Policy Statement; Medical Institution; HCBS 1-2, 7 Policy Clarification BD 11.03.2025 1.a; 3.a; 3.b.ii. Policy Statement; Medical Institution; Self- Determination Waiver 1-2, 10 Non-Substantive Change BP