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Aged, Blind and Disabled Manual Policy Manual Number: 130.005 Section: CHOICES Chapter: TennCare CHOICES in Long-Term Services and Supports August 01, 2024 Division of TennCare 10 3. Patients under age 21 may be eligible for TennCare Medicaid if they are receiving active in-patient treatment in an accredited psychiatric hospital. These cases are not defined as long-term institutional cases, as no LTSS payment is made. b. Licensed Public and Private Nursing Homes, which include: i. Level II, ICF, for patients of any age; ii. Level II, SNF, for patients of any age; and iii. Tuberculosis Care Units for patients age 65 and older. Tennessee does not have any chest disease/tuberculosis hospitals or care units. Care is limited to Tennessee residents at least age 65 whose out-of-state care has been approved by TennCare. Residents of unlicensed nursing homes or custodial homes are not considered to be receiving medical care and therefore do not meet the medical institutionalization technical requirement. These individuals are not eligible for TennCare Medicaid in an institutional category and are not eligible for LTSS payments. c. Certified Institutions LTCFs are certified by TennCare and have a TennCare Medicaid per diem rate established by the State Comptroller’s Office. A list of certified facilities and their rates are furnished by the Comptroller’s office. A list is also available at the Department of Health’s website.