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Medicaid Planning · Tennessee

Tennessee Medicaid estate recovery

Medicaid estate recovery rules for Tennessee.

Published: September 5, 2026. Last checked: September 5, 2026.

Recovery scope

Probate-estate recovery covers nursing-facility and home-and-community-based services and related hospital and prescription-drug services received at age 55 or older, subject to the state plan's limits.

Controlling authority

Tennessee Medicaid State Plan Attachment 4.17-A

Exemptions and deferrals

Recovery is deferred while a surviving spouse lives and while there is a surviving child under 21 or blind or permanently and totally disabled. The plan also excludes claims of $10,000 or less as not cost-effective.

Hardship-waiver path

Hardship relief may protect a sole-income-producing family farm or business and qualifying caregiver siblings or children under the plan's stated conditions; an affected person may request a review of the finding.

Lien practice

Tennessee does not impose lifetime TEFRA liens; recovery proceeds as a third-priority claim against the probate estate.

Sources

Methodology & sources

Checked at least annually and whenever recovery statutes, waivers, liens, or agency practices change.

General information, not legal advice.