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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 17 Version History Revision Date Section Section Title Page Number(s) Reason for Revision Reviser 04.17.2015 N/A N/A N/A Publication TennCare 07.01.2016 4.b.i-iii.; 5.a.i.; 11 Terms and Standards; CSIMA Calculation; CSIMA Example; Calculate DIMA; Information Needed with Item D Submission 2-6; 11 Non- Substantive Change LW 07.01.2016 8. Item D Deductions for Institutionalized Individuals 7 Policy Clarification LW 08.01.2017 4.b.i.; 5.a. Terms and Standards; General Rules 2-3; 5 Policy Clarification AJ 08.01.2017 4.b.iii.; 5.a.i. CSIMA Example; Calculate DIMA 4-6 Non- Substantive Change AJ 08.01.2017 5.b. Dependent Relatives Living in the Home Without a Community Spouse 6-7 Policy Change AJ 01.03.2018 4.b.i.; 4.b.iii Terms and Standards; CSIMA Example 2-5 Non- Substantive Change AJ 07.03.2018 4.b.i-iii.; 5.b.ii. Terms and Standards; CSIMA Calculation; CSIMA Example; Calculate DIMA 2-6 Non- Substantive Change TN 10.08.2018 4.b.i.; 4.b.iii. Terms and Standards; CSIMA Example 3; 5 Non- Substantive Change TN