More than 72 million Americans are covered under Medicaid, the national health protection program that’s jointly funded by the state and federal governments. Medicaid is designed to help those with a low income and minimal assets access basic health care, including emergency care, primary care and long-term care services.
In Tennessee Medicaid is known as TennCare. Seniors with an income no greater than 300% of the current federal benefit rate ($2,313) who own no more than $2,000 in countable assets may qualify for TennCare coverage, which includes long-term care services.
Countable assets include all cash, bank account balances and real estate, with the exception of the applicants’ home valued at no more than $572,000. Also exempt are personal belongings, such as clothing and jewellery, one vehicle and a nonrevocable burial trust.
Note: Tennessee is an income cap state, which means seniors aren’t able to spend down their excess income to achieve Medicaid eligibility.
TennCare CHOICES in Long-Term Services and Support
TennCare CHOICES is a home and community-based services Medicaid waiver program providing a wide range of support for seniors who require the level of care normally offered in a nursing home.
While CHOICES does provide nursing home care if necessary, this waiver also provides personal care services for seniors who want to live in an assisted living facility.
If approved for CHOICES, seniors must complete a comprehensive needs assessment to be provided with one or more of the many services offered, including:
- Assistance with performing tasks of daily living, such as getting dressed, bathing, using the toilet and eating
- A personal emergency call system
- Adult day health services
- Respite care
While CHOICES funds services for eligible seniors in assisted living, seniors are responsible for the room and board portion of their monthly assisted living costs.
For more information about TennCare and the CHOICES waiver, contact the
Area Agency on Aging and Disability at (866) 836-6678.