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Aged, Blind and Disabled Manual Policy Manual Number: 110.050 Section: Financial Eligibility Requirements Chapter: ABD Countable and Excluded Resources

September 1, 2026 Division of TennCare 36 provide for certain restrictions regarding these deposits based on the individual’s TennCare Medicaid eligibility status:

• Deposits for the currently eligible individual are limited to the amount of her patient liability. The facility may not require the full amount of a month’s cost of care and may not require any deposit as a condition of admission.

• The facility may require a deposit of any amount not to exceed whatever the facility “normally requires of all admitted patients” from any individual ineligible for TennCare Medicaid benefits at admission, including individuals applying for TennCare Medicaid. If the individual is subsequently approved for benefits, the facility must refund that portion of the deposit that was not used to pay for the individual’s care, i.e. the amount paid by the TennCare Medicaid program. A refund is made after the facility is notified of the individual’s TennCare Medicaid approval.

3. Refund as a Countable Resource

The individual who paid a deposit upon admission to an LTCF and who is subsequently approved for TennCare Medicaid is eligible for a refund of the deposit (in whole or in part) from the facility.

The amount of the anticipated refund is a countable resource during the first month for which the individual has applied for TennCare Medicaid coverage, if the deposit was paid from the individual’s own funds. Refunds of deposits paid from the funds of someone else other than the individual and/or her FRRs are not a countable resource.

Use the following procedure to determine the amount of the deposit that is a countable resource:

• Determine the total amount of the deposit and from whose funds it was paid.