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Aged, Blind and Disabled Manual Policy Manual Number: 125.010 Section: Institutional Medicaid Chapter: Transfer of Assets and Penalty Periods

January 5, 2026 Division of TennCare 19

Version History Revision Date Section Section Title Page Number(s) Reason for Revision Reviser 04.16.2015

Publication

11.01.2018 1.a.-e. Transfer of Assets for Less than Fair Market Value (FMV) 1-3 Policy Clarification AJ 11.01.2018 1.g. Exempt Asset Transfers 5 Policy Clarification AJ 11.01.2018 1.h. Annuities 6-9 Policy Change AJ 11.01.2018 1.k.iii In-Kind Compensation 10 Non-Substantive Change AJ 11.01.2018 2.b. Calculating the Penalty Period for Assets Transferred on or after 2/8/2006 15 Policy Change RS 11.01.2018 2.c.i. The DRA of 2005 15 Policy Clarification AJ 11.01.2018 2.c.ii. Penalty Period Start Date 16 Policy Change AJ 11.01.2018 2.g. Waiving of Entitled Income Benefits 17-18 Policy Change AJ 11.01.2018 2.h. Supplemental Security Income (SSI) Recipients (Effective 7-1- 88) 18 Non-Substantive Change AJ 11.01.2018 2.i. Notification 18 Non-Substantive Change AJ 05.03.2021 1.k.i.; 2.b. Legal Authority; Determining Compensation; Calculating the Penalty Period for Assets Transferred on or after 02/08/2006 10; 15 Non-Substantive Change TN 01.04.2022 2.b. Calculating the Penalty Period for Assets Transferred on or after 02/08/2006 15 Non-Substantive Change SA 03.01.2023 2.b. Calculating the Penalty Period for Assets Transferred on or after 02/08/2006 15 Non-Substantive Change KF 01.02.2024 2.b. Calculating the Penalty Period for Assets Transferred on or after 02/08/2006 15 Non-Substantive Change CE 03.01.2024 1.4. Legal Authority; Hardship 1; 19 Policy Clarification TC 11.01.2024 3,3.i.1 Rebuttal of Transfer Presumption 18; 19 Policy Clarification LW 01.02.2025 1.e. Effective Date Real Property is Evaluated as a Transfer of Assets 3 Accessibility LW 01.02.2025 1.ii.4. Determining Whether an Annuity is Actuarially Sound 8 Accessibility LW