Medicaid pays for nursing home care and, in some instances, in-home care, for people who are both financially and medically eligible. (Medical eligibility is discussed on pages 25-27, under nursing home care.) There are two parts to the application process–medical and financial. If you already have TennCare, call your health plan (MCO). If you do not have TennCare, call the East TN Area Agency on Aging & Disability. The TN Health Connection makes decisions on financial eligibilty, so call that agency to start the financial application.
You may own your home if your equity is under $560,000 (as of 2017), a car, limited amount of life insurance, and, in some cases, jointly held property, and still be eligible. The value is not counted when establishing eligibility; all other assets are considered. You will need documentation or verification of bank accounts, stocks, bonds, IRAs, CDs, and real estate owned in addition to your home.
When you determine you or your spouse are within about 30 days of needing funding from CHOICES for Long- Term Care for nursing home admission, call the Area Agency on Aging & Disability for assistance. The agency will send your application to TN Health Connection (page 129) for assessment of income and assets. You also can call Tennessee Health Connection directly. Tennessee has an “income cap” and limits Medicaid eligibility to nursing home patients with incomes of less than $2,205 per month (2017 guidelines). These figures change each year, and certain exceptions may apply by individual case. If your income is too high, it may be possible to get CHOICES by using a Qualified Income Trust (sometimes called a “Miller” Trust). For more information, contact an elder-law attorney, Long-Term Care Ombudsman, or Legal Aid of East Tennessee.
The spouse not residing in the nursing home (called the “community spouse”) is entitled to a minimum income–and maximum amount of assets, set annually–of $2,002.50 per month (as of July 1, 2016) and $120,900 (as of January 1, 2017), respectively. The community spouse may be able to keep up to $3,022.50 per month (2017 guidelines), depending on housing costs ($600.75 per month as of July 1, 2016).
Lawyers not experienced in elder law may be unaware of the complexities of planning for future CHOICES financial assistance for nursing home costs. Penalties can be applied for transferring assets for less than fair market value into the name of someone other than the person entering a nursing home.
Without endangering CHOICES eligibility, you may deposit approximately $6,000 into an irrevocable burial trust fund, using the contract provided by a funeral home, or purchase a prepaid burial insurance policy.
Federal law authorizes states to recover the costs of CHOICES-paid nursing home care when resources are left after the death of the patient. Law requires a waiver or release from the TennCare program before an estate can be closed in Tennessee, making estate recovery likely.
Seek legal advice before transferring the title or deed to property, as doing so may cause problems with CHOICES eligibility. In any case, the community spouse can live in the family home for the remainder of his or her lifetime. Recovery of CHOICES costs would not be sought until after the death of the community spouse.
If you want to receive care in your home instead of a nursing facility, you may still apply for CHOICES. If you already have TennCare, contact your insurance plan. If you do not have TennCare, call the East TN Area Agency on Aging & Disability.
Applicants must meet Medicaid’s financial eligibility and medical need requirements for nursing home admission. The services provided must not cost more than nursing home care would cost for the individual. Many services are available, including adult day care, assisted living, home delivered meals, homemaker, minor home modifications, pest control, and others.
If you need more information about TennCare CHOICES for Long-Term Care, ask Legal Aid of East TN for the publication, Paying for Nursing Home or Home-and- Community-Based Care with the CHOICES Program, or call the Long-Term Care Ombudsman.
A program called Options for Community Living provides limited services in the home for eligible persons.