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Administrative Manual Policy Manual Number: 200.035 Section: General Administrative Procedures and Compliance Chapter: Verification
May 1, 2025 Division of TennCare 3 c. Exception for Special Circumstances When providing documentary evidence is an insurmountable procedural barrier to accessing coverage, TennCare may, on a case by case basis and in limited circumstances, accept self- attestation for all eligibility criteria when documentation does not exist, or is not reasonably available, such as in the case of individuals who are homeless or have experienced domestic violence or a natural disaster.
6. Non-Financial Eligibility Requirements The list below provides an overview of how each eligibility requirement is verified. Additional information about verification requirements can be found in the relevant policy chapters. a. Age
TennCare verifies date of birth systematically through the Hub. When date of birth is unable to be verified systematically, Staff conduct electronic data inquires through the State Verification and Exchange System (SVES) and the State Online Query Internet (SOLQi). If TennCare is unable to electronically verify age, additional verification may be requested. b. Citizenship and Immigration Status Federal law requires TennCare to use SSA and DHS data to verify citizenship and immigration status. An individuals’ attested status is verified systematically through the Hub. If an individual’s status is not verified systematically, Staff conduct electronic data inquires through the Systematic Alien Verification for Entitlements Program (SAVE), SOLQi and SVES.
If TennCare is unable to verify status electronically, additional verification may be requested. c. Death Death is verified systematically through Vital Statistics and TennCare’s Medicaid Management Information System (MMIS). If TennCare is unable to verify status electronically, additional verification may be requested. See the Death or ABD Death policy.
d. Health Insurance Information TennCare accepts self-attestation of health insurance information. TennCare verifies state health insurance benefits post-eligibility through the State Benefits Administration (SBA) and TennCare’s MMIS. TennCare requests verification, when applicable, for individuals that indicate a lack of coverage or lack of access to coverage. See the TennCare Standard, CoverKids and Breast or Cervical Cancer policies.