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Administrative Manual Policy Manual Number: 200.040 Section: General Administrative Procedures and Compliance Chapter: Eligibility Determination

June 2, 2025 Division of TennCare 10

Version History Revision Date Section Section Title Page Number(s) Reason for Revision Reviser 09.19.2016 8. Eligibility Effective Date 3-4 Policy Clarification NF 11.01.2016 9. Reported Changes 4-5 Section Addition RH 01.02.2020 8. Legal Authority; Eligibility Effective Date 1; 3 Policy Clarification TB 01.02.2020 1-2.; 4- 7.; 9. Policy Statement; Timely Determinations and Processing Time Limits; Unable to Locate an Individual; Individual is Deceased; Case Documentation; Notice of Determination; Reported Changes; 1-5 Non-Substantive Change TB 07.01.2021 8. Eligibility Effective Date 3-4 Policy Change MH 01.04.2021 8. Eligibility Effective Date 3-5 Policy Clarification MH 07.01.2023 9. Legal Authority; Reported Changes 6-8 Policy Change MH 01.02.2024 9. Reported Changes 7 Policy Change LW 06.02.2025 8. Legal Authority; Eligibility Effective Date 1, 5 Policy Change TC