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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 18 Revision Date Section Section Title Page Number(s) Reason for Revision Reviser 03.18.2019 1.; 2.-2.a.; 3.; 3.c.; 3.f.; 3.h. Legal Authority; Policy Statement; Determination of Total Income; Income Not Included in Total Income; PETI Deductions from Total Income; Mandatory Expenses; Health Insurance Premiums; Incurred Medical Expenses Carry Forward Amount 1-5; 10; 15-16 Policy Clarification AJ 03.18.2019 2.b.; 3.b.i.; 3.d.ii.1. VA Pensions Limited to $90 Per Month; Nursing Facility; Terms and Standards 1-2; 6 Policy Change AJ 03.18.2019 3.b.iii.; 3.g. Statewide ID and Comprehensive Aggregate Cap Waivers; Incurred Medical Expenses for Institutionalized Individuals 3; 11-15 Non- Substantive Change AJ 07.01.2019 3.d.ii.1-3.; 3.e.ii.2. Legal Authority; Terms and Standards; CSIMA Calculation; CSIMA Example; Calculate DIMA 1; 6-9 Policy Clarification TB 07.01.2020 1.; 3.d.ii.1-3.; 3.e.ii.2.; 3.f.ii.3; 3.g.iv.1.b.; 3.g.3iv.2.b-c Policy Statement; Terms and Standards; CSIMA Calculation; CSIMA Example; Calculate DIMA; Medicare Premiums; Dental Services Provided in a LTCF 1; 6-9; 11; 15 Non- Substantive Change TN