This amendment makes the State Plan consistent with the approved HCBS waivers regarding institutionalized individuals and their monthly income allowance. It describes persons with greater need and the basis/formula for determining the deductible amount and criteria.

This amendment increases the personal needs allowance (PNA) from $40 per month per individual to $50 per month per individual effective January 1, 2010.

This amendment confirms that Tennessee intends on contracting with Recovery Audit Contractor(s) (RAC)s to audit Medicaid providers and review Medicaid claims submitted by provider of services.

This State Plan Amendment addresses the list of incurred expenses that may be deducted for institutionalized persons as part of the post-eligibility treatment of income.

This amendment assures that Tennessee is in compliance with Section 4107 provision of the Affordable Care Act which requires that States offer tobacco cessation counseling services for pregnant women.

This amendment requested an exemption to the required three (3) year look-back period by the Medicaid Recovery Audit Contractor (RAC).

This amendment updates payment methodology for Programs of all Inclusive Care for the Elderly (PACE) due to TennCare implementing a Medicaid Managed Long-term Care model, and changes the standard used in calculating a PACE enrollee's Personal Needs Allowance (PNA).

DSH Payments for Hospitals.

Provider Preventable Conditions.

Pharmacy rates; changing payment rate from AWP to Utah Wholesale Price.