What assets are exempt from Medicaid in Tennessee?

Asked by: Madie Hane IV  |  Last update: March 11, 2025
Score: 4.1/5 (22 votes)

In Tennessee, IRA's / 401K's are counted. There are also assets that Medicaid does not count towards the asset limit. Exemptions include personal belongings, household furnishings, an automobile, irrevocable burial trusts up to $6,000, and generally one's primary home.

How to protect assets from Medicaid in Tennessee?

How can you protect your assets and qualify for Medicaid?
  1. asset protection trusts specifically designed to protect your wealth and to protect your wealth from long-term care; or.
  2. income trusts (either a qualified income trust or pooled income trust)

What is an exempt asset for Medicaid?

There are “countable assets” and “exempt assets”. An applicant's home furnishings and appliances, personal items, vehicle, and generally their home, are exempt. For home exemption, an applicant (or their spouse) must live in their home or the applicant must have “Intent to Return”.

What is considered an asset for TennCare?

To qualify for TennCare, an applicant may only have a certain amount of liquid assets such as cash or money in a checking or savings account, usually around $2,000 depending on state rules.

How do I protect cash assets from Medicaid?

A Medicaid Asset Protection Trust is exactly as it sounds—a trust designed to protect assets from being counted for Medicaid eligibility. An MAPT allows a person to qualify for long term care benefits from Medicaid, while protecting assets from being depleted if long-term care is needed.

Medicaid Eligibility - Medicaid Income and Asset Limits – 2024

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Can Medicaid see your bank account?

This makes sense given Medicaid is a need-based program with financial eligibility requirements so they need to verify your assets. Medicaid agencies can check your bank account balances at any financial institution you've used during the month you apply or during a 5 year look-back period.

Can you hide assets to qualify for Medicaid?

Purposely not disclosing asset information in order to gain Medicaid eligibility is illegal. It is fraud, and consequences for hiding assets can be severe, including jailtime and hefty fines. Furthermore, persons should not gift assets as a means to “hide” them and qualify for Medicaid.

How to avoid Medicaid estate recovery in Tennessee?

TennCare defers estate recovery for an individual's estate when:
  1. The individual is survived by a spouse; or.
  2. The individual is survived by a child under the age of 21; or.
  3. The individual is survived by a son or daughter who is blind or disabled.

How often does Medicaid check your assets?

Yes, income and assets have to be verified again for Medicaid Redetermination. After initial acceptance into the Medicaid program, redetermination is generally every 12 months. The redetermination process is meant to ensure the senior Medicaid beneficiary still meets the eligibility criteria, such as income and assets.

What are Medicaid non-countable assets?

Medicaid Non-Countable Assets

An essential non-countable asset is your home. Your home remains a non-countable asset even if you move into a nursing home, so long as your spouse or dependent is living in the home or you have an intent to return.

Do I have to sell my house to qualify for Medicaid?

Note: California stands apart from the other states. CA eliminated their Medicaid (Medi-Cal) asset limit effective 1/1/24. Medi-Cal applicants and beneficiaries can have unlimited assets and still be eligible for Medi-Cal. They could sell their home and it have no impact on their eligibility.

What is considered a non exempt asset?

Examples of nonexempt assets that can be subject to liquidation: Additional home or residential property that is not your primary residence. Investments that are not part of your retirement accounts. An expensive vehicle(s) not covered by bankruptcy exemptions.

What happens to assets if you go into a nursing home?

No one “takes” assets from the patient; the nursing home simply requires payment for its services if the patient intends to reside in the nursing home. The notion of assets being seized by the government or a nursing home is only one of several misconceptions about paying for long term care.

Can an irrevocable trust protect your assets from Medicaid?

Placing assets into an irrevocable trust is the best strategy. It not only protects family assets from creditors, it also eliminates the countable assets for Medicaid eligibility purposes and hence accelerates the time when Medicaid benefits can kick-in.

How can I protect my assets from medical?

There are different types of trusts, such as irrevocable trusts, which can be particularly useful for asset protection. Once assets are placed into an irrevocable trust, they are no longer considered part of your estate, thus shielding them from potential creditors, including those seeking payment for medical bills.

How do I protect my assets from Medicaid look-back?

By transferring your assets into an irrevocable trust, you effectively remove them from your ownership, thereby protecting them from Medicaid's asset requirements. However, it's important to note that once assets are transferred to an irrevocable trust, you no longer have control over them.

Do you have to pay back Medicaid in Tennessee?

TennCare can't seek repayment until after the member's death. It can seek repayment only from the member's estate. This means that surviving family members are not personally responsible for repaying these amounts.

Will I lose my Medicaid if I inherit a house?

California stands apart from the other states. In CA, Medicaid (Medi-Cal) recipients can gift inheritance, which is considered “income”, the month in which it is received. Furthermore, Medi-Cal recipients have no asset limit, and therefore, can have unlimited assets and still be eligible for long-term care benefits.

What if I have too much money to qualify for Medicaid?

If your state Medicaid office tells you that your income is too high for Medicaid, ask them if there is a spend-down option. If there is, your state may have a separate application. Check with your local office on documents you'll need, and whether you can apply online or in person.

What is the look back period for Medicaid in Tennessee?

The look-back date is 60 months prior to the first date the individual met both requirements (i.e., institutionalization and application for Medicaid).

What is the difference between TennCare and Medicaid?

TennCare is the state of Tennessee's Medicaid program. It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children, and individuals who are elderly or have a disability. To get Medicaid, you must meet the income and resource limits. You can apply anytime for TennCare.

Does Medicaid seize your assets?

California eliminated their asset limit effective 1/1/24. While this means one's home is automatically safe from Medicaid while they are living, the home is not necessarily safe from Medicaid's Estate Recovery Program.

Does Medicaid look at cash withdrawals?

If there are ATM cash withdrawals totalling as little as $201 in a month the HHSC is going to treat it as a transfer for less than fair market value unless you provide convincing evidence that the cash was used to obtain goods or services equal in worth to the amount of the withdrawal.

Does having a 401k affect Medicaid?

In every state except one, these retirement accounts are counted toward the asset limit for eligibility. Although it should be noted that California does not have an asset limit, so the value of retirement accounts will not impact California residents applying for Medi-Cal (California Medicaid).