Section 1200-13-20-.01 - SCOPE AND AUTHORITY(1) This Chapter governs the processes for determining financial and categorical eligibility for the TennCare and CoverKids programs. This Chapter will refer to the programs collectively as TennCare, unless a specific process or requirement for TennCare Medicaid, TennCare Standard, the Medicare Savings Program, or CoverKids differs from the general TennCare process or requirement. This Chapter preempts any other TennCare Rules pertaining to eligibility determination to the extent that they are in conflict.(2) The Tennessee Medical Assistance Act of 1968 and Executive Order Number 23, dated October 19, 1999, designate the Tennessee Department of Finance and Administration as the Single State Agency for purposes of administering Title XIX of the Social Security Act (Medicaid).(3) The CoverKids Act of 2006 authorizes the Tennessee Department of Finance and Administration to establish and administer a program to provide health care coverage to uninsured children under Title XXI of the Social Security Act (State Children's Health Insurance Program: "CHIP").(4) Titles XIX and XXI of the Social Security Act, TennCare Medicaid Section 1115 Demonstration Waiver as may be amended, extended, or renewed in the future, and 42 C.F.R. Parts 431 and 435 require the designated State agency to provide for eligibility determinations for applicants seeking assistance and services provided through the programs.Tenn. Comp. R. & Regs. 1200-13-20-.01
Emergency rule filed June 16, 2016; effective through December 13, 2016. New rules filed September 14, 2016; effective December 13, 2016. Amendments filed May 24, 2019; effective 8/22/2019.Authority: T.C.A. §§ 4-5-202, 4-5-208, 71-5-105, 71-5-106, 71-5-110, 71-5-111, and 71-5-117.