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CHOICES Pre-Admission Evaluation (PAE) APPLICANT Name (Last, First, Middle) Date of Birth Street Address DESIGNEE / County City State SSN / - - Zip AND Medicaid Number (if currently eligible) Name.

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CHOICES Pre-Admission Evaluation (PAE) - TN.gov
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For eligibility questions call 855-259-0701. To check the status of your application, change your address, or update personal information call 855-259-0701.

TennCare has up to 45 days to process your application after you have turned in all the information they request. TennCare will make a determination. You will receive a notice in the mail stating whether your application was approved or denied.

The Maximum possible Total Nursing Facility Level of Care acuity score (total NF LOC acuity score) is 26. This can be expressed as: Total NF LOC acuity score = Acuity score for Activities of Daily Living (ADL) or related deficiencies + Acuity score for skilled and/or rehabilitative services.

The medical qualification is established through a process called a Pre-Admission Evaluation (PAE). This evaluation looks at whether or not you can do certain everyday activities without help. These are activities like bathing, dressing, and eating meals.

Age/Disability – the applicant must be age 65 or older, or blind, or disabled. The applicant must meet certain medical requirements consistent with the level of care requested. Persons must need care for thirty (30) consecutive days.

Note that prior approval from TennCare is required only if the cost-effective alternative service in question is not on the list of pre-approved services in Policy BEN 08-001 .

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232