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Aged, Blind and Disabled Manual Policy Manual Number: 110.052 Section: Financial Eligibility Requirements Chapter: ABD Conditional Assistance

November 1, 2016 TennCare 4 ii. The individual is not determined eligible for any TennCare Medicaid category. iii. The Eligibility Specialist determines if the individual would be eligible for an ABD TennCare Medicaid category if the non-liquid real or personal property was not considered. iv. If the individual would be eligible for an ABD TennCare Medicaid category if the non-liquid real or personal property was not considered, the Eligibility Specialist will offer conditional assistance to the individual. If the answer to iii. is no, the application will be denied. v. The individual will complete the Agreement to Sell Property Form, ensuring signatures of all owners of the property, and return the form to HCFA. vi. Upon receipt of the Agreement to Sell Property Form, the application will be approved. 9. Real Property If real property is listed at the Total Market Appraisal (Fair Market Value), consider the value to be CMV. If real property is listed significantly below or above the Total Market Appraisal (Fair Market Value), obtain a statement from a knowledgeable and disinterested third party stating the value of the real property and why it should be considered current market value. If the individual is working with a real estate agent to sell the real property, obtain the statement from the individual’s real estate agent. If the individual is selling the real property herself, request that the individual obtain a written statement from a third party real estate agent. 10. Recoupment Individuals receiving conditional assistance are subject to the recoupment of Medicaid costs up to the net proceeds (total sale price – any costs/taxes/mortgage/lien) received from the sale of excess personal or real property. Only the Medicaid costs assumed during the period of conditional assistance are subject to recoupment. The individual must continue making reasonable attempts to sell the property after the property becomes inaccessible due to the expiration of the conditional assistance period. If sold after the conditional assistance period ends, the recoupment amount is limited to the amount of Medicaid payments made during the conditional assistance period.