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Aged, Blind and Disabled Manual Section: Institutional Medicaid Policy Manual Number: 125.020 Chapter: Post-Eligibility Treatment of Income

July 1, 2026 Division of TennCare 14 Drug Covered by Medicare? Covered by Medicaid/ TennCare? Status as an allowable IME deduction? Reasoning Medically necessary benzodiazepines Yes Yes Not allowed Drug is covered by both Medicare and TennCare Medically necessary cough and cold products Yes, EXCEPT products used for symptomatic relief of cough and colds Yes, EXCEPT products used for symptomatic relief of cough and colds Only if the products are used for the symptomatic relief of cough and colds IME deduction can only be applied to drugs not covered by TennCare and Medicare Medically necessary prescription vitamin and mineral products Yes, but ONLY IF the items are prenatal vitamins and fluoride preparations Yes, but ONLY IF the items are prenatal vitamins and fluoride preparations Only if the items are NOT prenatal vitamins and fluoride preparations IME deduction can only be applied to drugs not covered by TennCare and Medicare Medically necessary smoking cessation products Prescription-only smoking cessation products are COVERED; non- prescription drugs are NOT COVERED Yes Not allowed Prescription-only smoking cessation products are covered by Medicare and TennCare; non- prescription drugs are covered by TennCare TennCare does not cover prescription drugs for individuals who are dually eligible for both Medicare and TennCare. These individuals are considered to have access to Medicare Part D for their prescription drug coverage, regardless of whether they choose to enroll in Medicare Part D or not. iv. Dental Services Provided in a LTCF There are certain requirements that must be met by the mobile dental service providers in order to have their services covered as an incurred medical expense. 1. These are the requirements of the mobile dental service: a. To obtain a signed consent form from the responsible party prior to performing any dental services. If the responsible party fails or refuses to sign the consent form and has not made any arrangements for alternative dental care, the LTCF is authorized to sign the form on behalf of the resident. The consent will remain valid for the length of the resident’s stay (only one form per patient, not one per procedure), unless otherwise revoked by the responsible party. b. To deliver the consent form, along with the verification of services form, via hand delivery, mail or facsimile to TennCare Connect.