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Administrative Manual Section: General Administrative Procedures and Compliance Policy Manual: 200.112 Chapter: Eligibility of Inmates of Public Institutions Legal Authority: SSA § 1905(a)(29), see 42 USC § 1396d(a)(29)(A); 42 CFR 435.1010; 42 CFR 435.1009(a)(1); Tenn. Code Ann. § 71-5-106(r) FOR ADDITIONAL INFORMATION PLEASE REFER TO: TennCare Policy Manual, Policy No: EED 06-001 1. Policy Statement An individual’s status as an inmate of a public institution does not prevent eligibility for TennCare Medicaid or TennCare Standard. Federal Financial Participation (FFP) is not available for payment of benefits provided to inmates of public institutions eligible for TennCare with the exception of inmates who are patients in a medical institution for more than 24 hours. Applicants/enrollees involuntarily confined in a public institution are placed in a temporary suspended status to prevent inappropriate payments. 2. Definitions Inmate: An individual involuntarily confined in a local, state, or federal prison, jail, youth development center (YDC), or other penal or correctional facility, including a furlough from such facility. An individual is not considered an inmate in a public institution if he is in a: • Public educational or vocational training institution for the primary purpose of receiving education or vocational training; or • Public institution for a temporary period pending other arrangements appropriate to his needs. Patient: An individual receiving professional services directed by a licensed practitioner of the healing arts for maintenance, improvement, or protection of health, or lessening of illness, disability, or pain. Public Institution: A public institution is one that provides shelter, food and treatment or services and is the responsibility of or controlled by a governmental unit. A public institution includes any private facility that is under direct contract with a governmental entity to provide correctional services, or that acts as an institution for incarceration on behalf of the state’s criminal justice system. A public institution does not include: • A medical institution;