NASHVILLE, Tenn. (AP) - Tennessee health officials say changes are coming for their proposal to become the first state to receive funding for its Medicaid program, TennCare, in a lump sum.

TennCare Director Gabe Roberts told state lawmakers Thursday that the proposal will be amended to say changes won't be made to the Early and Periodic Screening, Diagnostic and Treatment benefit for children under 21. He said another change will say the plan won't limit off-label drugs for pediatric patients.

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Roberts says TennCare wasn't planning to change either but wants to provide clarification.

Roberts says more tweaks are expected as TennCare sorts through public comments.

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Tennessee must file the $7.9 billion block grant proposal with federal officials by Nov. 20. If federal approval is granted, state lawmakers get a vote on the final product.

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